Audiology Consultants of Southwest Florida

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

AY274 Issued in FL

Legal business name

AUDIOLOGY CONSULTANTS OF SOUTHWEST FLORIDA

Practice address

15721 New Hampshire CT
Fort Myers, FL 33908

Phone

(239) 481-2088

Fax

(239) 481-2095

NPI assigned

Sep 21, 2010

Organization subpart

No

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

Authorized official

Name

Jack (John) H Chippendale, CCC-A

Title

Owner/Audiologist

Phone

(239) 481-2088

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Audiology Consultants of Southwest Florida Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• John H. Adams, M.S., CCC-A

  • Audiologist-Hearing Aid Fitter
  • Fort Myers, FL
  • NPI 1972593796
  Medicare reassignment NPD
• Maura Chippendale, AUD., FAAA

  • Audiologist
  • Cape Coral, FL
  • NPI 1285624247
  NPD (past)

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1841508173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15721 NEW HAMPSHIRE CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33908",
            "telephone_number": "239-481-2088",
            "fax_number": "239-481-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15721 NEW HAMPSHIRE CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33908",
            "telephone_number": "239-481-2088",
            "fax_number": "239-481-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY CONSULTANTS OF SOUTHWEST FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "CHIPPENDALE",
        "authorized_official_first_name": "JACK (JOHN)",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "239-481-2088",
        "authorized_official_credential": "CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY274",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "FL",
            "license": "AY274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "S0637",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Audiology Consultants of Southwest Florida",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Audiology Consultants of Southwest Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Todd Sterling Atkinson, M.D.
• Atlas Wellness Group LLC
• Andrei V Atlivanau, PHARMD
• Yamini Attiku, MBBS, MD
• Jenean Atway, PHARMD
• Karline Auguste
• Melody Augustin
• Miguel Augustin
• Heather V Auld, M.D.
• Carmen Joseph Aulino, D.D.S.

• Audiologist-Hearing Aid Fitter in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Audiologist-Hearing Aid Fitter in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.