Organization Active NPI

Charlotte Hearing Center, Inc.

  • Audiologist
  • Port Charlotte, FL
National Provider Identifier
1801982863
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY211 Issued in FL
Legal business name
CHARLOTTE HEARING CENTER, INC.
Practice address
21216 Olean Blvd
Suite 4
Port Charlotte, FL 33952-6722
Phone
(941) 766-8886
Fax
(941) 766-8804
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bethany Lee Walden, AU.D.
Title
Owner
Phone
(941) 766-8886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X AY211 FL Primary

Addresses

Primary practice location

21216 Olean Blvd
Suite 4
Port Charlotte, FL 33952-6722

Mailing address

21216 Olean Blvd
Suite 4
Port Charlotte, FL 33952-6722
Phone (941) 766-8886

Other identifiers 3

IdentifierTypeStateIssuer
CJ2976OtherFLR.R. MEDICARE
J0825OtherFLBLUE CROSS/BLUE SHIELD
T0849OtherFLBLUECROSS/BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1705 Tamiami Trl
Bldg 2
Pt Charlotte, FL 33948
Phone (941) 766-8886

21216 Olean Blvd
Ste 4
Pt Charlotte, FL 33952
Phone (941) 766-8866

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801982863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21216 OLEAN BLVD",
            "address_2": "SUITE 4",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526722",
            "telephone_number": "941-766-8886",
            "fax_number": "941-766-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21216 OLEAN BLVD",
            "address_2": "SUITE 4",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526722",
            "telephone_number": "941-766-8886",
            "fax_number": "941-766-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE HEARING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALDEN",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-766-8886",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R.R. MEDICARE",
            "identifier": "CJ2976",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "J0825",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUE SHIELD",
            "identifier": "T0849",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.