Organization Active NPI

Metampa, LLC

  • Audiologist-Hearing Aid Fitter
  • Lakeland, FL
National Provider Identifier
1922566504
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
METAMPA, LLC
Practice address
3615 S Florida Ave Ste 1240
Lakeland, FL 33803-4808
Phone
(863) 213-0240
NPI assigned
Mar 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Authorized official

Name
Steve L Key
Title
Coo
Phone
(254) 230-4149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237600000X Primary

Addresses

Primary practice location

3615 S Florida Ave Ste 1240
Lakeland, FL 33803-4808

Mailing address

8300 Central Park Dr Ste 100
Waco, TX 76712-6666
Phone (254) 227-5189

Other names 1

  • Miracle Ear Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1922566504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 CENTRAL PARK DR STE 100",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126666",
            "telephone_number": "254-227-5189",
            "fax_number": "254-300-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 S FLORIDA AVE STE 1240",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034808",
            "telephone_number": "863-213-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "KEY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "254-230-4149"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle Ear Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Miracle Ear Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.