Individual provider Active NPI

Heather Marie Untied-Leonard, AU.D., CCC-A

  • Audiologist
  • Wesley Chapel, FL
National Provider Identifier
1942469218
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1300 Issued in FL
Practice address
27406 Cashford Cir
Wesley Chapel, FL 33544-8199
Phone
(813) 994-8900
Fax
(561) 725-8788
NPI assigned
Jun 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1300 FL Primary

Addresses

Primary practice location

27406 Cashford Cir
Wesley Chapel, FL 33544-8199

Mailing address

27406 Cashford Cir
Wesley Chapel, FL 33544-8199
Phone (813) 994-8900

Other practice location 1

27415 Cashford Cir Ste 101
Wesley Chapel, FL 33544-6973
Phone (813) 994-8900

Other names 1

  • Mrs. Heather Marie Untied Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051026000076 FL Practitioner - Qualified Audiologist 8921025370 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Associates of Florida, LLCGroup PAC ID 0042292849, 227 clinicians

Practice addresses (Care Compare)

1303 Mosley Dr
Lynn Haven, FL 32444-5625
Phone (850) 784-7722

27406 Cashford Cir
Wesley Chapel, FL 33544-8199
Phone (813) 994-8900

900 NW 13TH St
Suite 206
Boca Raton, FL 33486-2350
Phone (561) 391-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: heuntiedleonard@entaaf.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1942469218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27406 CASHFORD CIR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335448199",
            "telephone_number": "813-994-8900",
            "fax_number": "561-725-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27406 CASHFORD CIR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335448199",
            "telephone_number": "813-994-8900",
            "fax_number": "561-725-8788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27415 Cashford Cir Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335446973",
            "country_code": "US",
            "telephone_number": "813-994-8900",
            "fax_number": "561-725-8788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNTIED-LEONARD",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "UNTIED",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "AU.D., CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.