Island Audiology, LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

AY1366 Issued in FL

Legal business name

ISLAND AUDIOLOGY, LLC

Practice address

13999 Gulf Blvd Ste C4
Madeira Beach, FL 33708-2677

Phone

(727) 329-8683

NPI assigned

Dec 2, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Heidi D Roberts-Fordham, AU.D.

Title

Owner/Audiologist

Phone

(727) 329-8683

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1811265051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13999 GULF BLVD STE C4",
            "city": "MADEIRA BEACH",
            "state": "FL",
            "postal_code": "337082677",
            "telephone_number": "727-329-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13999 GULF BLVD STE C4",
            "city": "MADEIRA BEACH",
            "state": "FL",
            "postal_code": "337082677",
            "telephone_number": "727-329-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND AUDIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "ROBERTS-FORDHAM",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "727-329-8683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "FL",
            "license": "AY1366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Mae Heburn, APRN
• Adison Herring
• Lisa Hudson Herron, ARNP
• Holiday CVS LLC
• Integrative Acupuncture Medical Clinic LLC
• Caryn Lee Jackson-Costello
• Brandi Michelle Jessop, MS, CCC-SLP
• Kathryn C McClintock DDS
• Michelle L Kennedy, CST
• Tetina Stillo Kinney, M.S., CCC-SLP

• Hearing and Speech Clinic/Center in Madeira Beach, FL
• Providers in Madeira Beach, FL by specialty
• Hearing and Speech Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.