Individual provider Active NPI

Gloria Valencia, AU.D., CCC-A

  • Audiologist
  • Saint Cloud, FL
National Provider Identifier
1871914176
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2681 Issued in FL
Practice address
1330 Budinger Ave Ste 206
Saint Cloud, FL 34769-4123
Phone
(407) 992-9229
Fax
(407) 891-2911
NPI assigned
Jan 4, 2014
Last updated
May 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A-01441 OH
Audiologist 231H00000X AY2681 FL Primary
Assistive Technology Practitioner Audiologist 231HA2400X A-01441 OH
Audiologist-Hearing Aid Fitter 237600000X A-01441 OH

Addresses

Primary practice location

1330 Budinger Ave Ste 206
Saint Cloud, FL 34769-4123

Mailing address

1330 Budinger Ave Ste 206
Saint Cloud, FL 34769-4123
Phone (407) 992-9229

Other practice location 1

3202 Eden Ave Rm 334
Cincinnati, OH 45267-0001
Phone (513) 558-8503

Other names 1

  • Gloria Eyicel Diaz Barco Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240521000714 FL Practitioner - Qualified Audiologist 8628410891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1330 Budinger Ave
Suite 206
Saint Cloud, FL 34769-4123
Phone (407) 944-9041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY2681FLMDAudiologist
A-01441OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Apr 1, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Apr 1, 2024 Accepting new patients

Locations

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1330 Budinger Ave
Ste 206
Saint Cloud, FL 34769
Phone (407) 498-3763

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1388793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1871914176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 BUDINGER AVE STE 206",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694123",
            "telephone_number": "407-992-9229",
            "fax_number": "407-891-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 BUDINGER AVE STE 206",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694123",
            "telephone_number": "407-992-9229",
            "fax_number": "407-891-2911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3202 Eden Ave Rm 334",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452670001",
            "country_code": "US",
            "telephone_number": "513-558-8503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENCIA",
        "first_name": "GLORIA",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-04",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A-01441",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2681",
            "primary": true
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "OH",
            "license": "A-01441",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OH",
            "license": "A-01441",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "DIAZ BARCO",
            "middle_name": "EYICEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.