Individual provider Active NPI

Timothy Dunnigan, MA CCC-A

  • Audiologist
  • Naples, FL
National Provider Identifier
1831119973
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY673 Issued in FL
Practice address
5470 Bryson CT Ste 102
Naples, FL 34109
Phone
(239) 434-7000
Fax
(239) 498-4172
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY673 FL Primary

Addresses

Primary practice location

5470 Bryson CT Ste 102
Naples, FL 34109

Mailing address

2332 Pine Ridge Rd
Naples, FL 34109-2003
Phone (239) 434-7000

Other practice location 1

3350 Woods Edge Cir Ste 101
Bonita Springs, FL 34134-1366
Phone (239) 948-3434

Other identifiers 2

IdentifierTypeStateIssuer
600049500MedicaidFL
S1346OtherFLBLUE CROSS &BLUE SHIELD

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)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Hearing Technology, Inc. Audiologist CurrentSince Feb 24, 2000 Accepting new patients

Locations

3350 Woods Edge Cir
Ste 101
Bonita Springs, FL 34134
Phone (239) 498-2666

5470 Bryson Ct
Ste 102
Naples, FL 34109
Phone (239) 434-7000

2332 Pine Ridge Rd
Naples, FL 34109
Phone (239) 434-7000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1831119973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2332 PINE RIDGE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092003",
            "telephone_number": "239-434-7000",
            "fax_number": "239-643-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5470 BRYSON CT STE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34109",
            "telephone_number": "239-434-7000",
            "fax_number": "239-498-4172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3350 Woods Edge Cir Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341341366",
            "country_code": "US",
            "telephone_number": "239-948-3434",
            "fax_number": "239-498-4172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNNIGAN",
        "first_name": "TIMOTHY",
        "credential": "MA CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600049500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS &BLUE SHIELD",
            "identifier": "S1346",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.