Active NPI
Deborah Lynn Cornell, HAS
- Hearing Instrument Specialist
- Sanford, FL
National Provider Identifier
1801418900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- AS3578
- Practice address
- 1101 Rinehart Rd
Sanford, FL 32771-7390 - Phone
- (407) 547-2152
- NPI assigned
- May 12, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | AS3578 | FL | Primary |
Addresses
Primary practice location
1101 Rinehart Rd
Sanford, FL 32771-7390
Mailing address
2825 Derby Dr
Deltona, FL 32738-1724
Phone (386) 717-0551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AS3578 | FL | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589241600000",
"number": "1801418900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 DERBY DR",
"city": "DELTONA",
"state": "FL",
"postal_code": "327381724",
"telephone_number": "386-717-0551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 RINEHART RD",
"city": "SANFORD",
"state": "FL",
"postal_code": "327717390",
"telephone_number": "407-547-2152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNELL",
"first_name": "DEBORAH",
"middle_name": "LYNN",
"credential": "HAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-12",
"last_updated": "2020-05-12",
"certification_date": "2020-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "FL",
"license": "AS3578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.