Susannah B Gariepy, AU.D.
Individual provider Active NPI Audiologist · Kenneth City, FL
NPI 1942246830 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1942246830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- AY1048 (FL)
- Practice address
- 4714 Lake Charles Way N
Kenneth City, FL 33709-3618 - Phone
- (727) 504-7070
- Fax
- (727) 767-8998
- NPI assigned
- Jun 21, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AY1048 | FL | MD | Audiologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY1048 | FL | Yes |
Addresses
Primary practice location
4714 Lake Charles Way N
Kenneth City, FL 33709-3618
Mailing address
4714 Lake Charles Way N
Kenneth City, FL 33709-3618
Phone (727) 504-7070
Other providers in Kenneth City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.