Individual provider Active NPI

Meredith L Resnick, MA CCC-A

  • Audiologist
  • Delray Beach, FL
National Provider Identifier
1902053580
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1761 Issued in FL
Practice address
6110 W Atlantic Ave
Suite a
Delray Beach, FL 33484-8405
Phone
(561) 638-6530
Fax
(561) 638-6531
NPI assigned
Aug 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1761 FL Primary

Addresses

Primary practice location

6110 W Atlantic Ave
Suite a
Delray Beach, FL 33484-8405

Mailing address

6110 W Atlantic Ave
Suite a
Delray Beach, FL 33484-8405
Phone (561) 638-6530

Other names 1

  • Miss Meredith L Siegel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230727000435 CA Practitioner - Qualified Audiologist 1052463395 Reassigns benefits to 1 organization
I20240828001191 FL Practitioner - Qualified Audiologist 1052463395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hearing Partners of South Florida IncGroup PAC ID 6103891403, 5 clinicians

Practice addresses (Care Compare)

6110 W Atlantic Ave
Suite a
Delray Beach, FL 33484-8406
Phone (561) 638-6530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Hearing & Balance Center Inc. Audiologist CurrentSince Jun 13, 2023 Accepting new patients
Lakefront Medical Associates LLC Past Accepting new patients
South Bay Hearing & Balance Center PastSince Jun 13, 2023 Accepting new patients

Locations

26302 La Paz Rd
Ste 107
Mission Viejo, CA 92691
Phone (949) 855-7898

3734 Sepulveda Blvd
Torrance, CA 90505
Phone (310) 375-6161

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/684/brand/2/csg/43/fhir/r4

Organizations & group practices 4

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": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1902053580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 W ATLANTIC AVE",
            "address_2": "SUITE A",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848405",
            "telephone_number": "561-638-6530",
            "fax_number": "561-638-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 W ATLANTIC AVE",
            "address_2": "SUITE A",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848405",
            "telephone_number": "561-638-6530",
            "fax_number": "561-638-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESNICK",
        "first_name": "MEREDITH",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MA CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "SIEGEL",
            "middle_name": "L",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.