Individual provider Active NPI

Douglas Scott Kiesling, HAS

  • Hearing Instrument Specialist
  • Merritt Island, FL
National Provider Identifier
1952965873
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
5343 Issued in FL
Practice address
800 E Merritt Island Cswy Ste 104
Merritt Island, FL 32952-3514
Phone
(321) 735-4942
NPI assigned
Apr 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 5343 FL Primary

Addresses

Primary practice location

800 E Merritt Island Cswy Ste 104
Merritt Island, FL 32952-3514

Mailing address

800 E Merritt Island Cswy Ste 104
Merritt Island, FL 32952-3514
Phone (321) 735-4942

Other identifiers 2

IdentifierTypeStateIssuer
1285014050OtherFLFMHC GROUP NPI
1598042434OtherFLFMHC BLUE CROSS BLUE SHIELD GROUP NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address skiesling@floridamedicalhearing.com Direct Physicians Audiology Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5343FLMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Distribution, LLC Past Accepting new patients
Lifestyle Hearing Corporation USA Inc Hearing Instrument Specialist Past Accepting new patients

Networks

  • Freedom Health HMO Network

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": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1952965873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E MERRITT ISLAND CSWY STE 104",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523514",
            "telephone_number": "321-735-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E MERRITT ISLAND CSWY STE 104",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523514",
            "telephone_number": "321-735-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIESLING",
        "first_name": "DOUGLAS",
        "middle_name": "SCOTT",
        "credential": "HAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-25",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "5343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FMHC GROUP NPI",
            "identifier": "1285014050",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FMHC BLUE CROSS BLUE SHIELD GROUP NPI",
            "identifier": "1598042434",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skiesling@floridamedicalhearing.com",
            "affiliation": "Y",
            "endpointDescription": "Business Email",
            "affiliationName": "Physicians Audiology Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email Address",
            "address_1": "800 E Merritt Island Cswy Ste 104",
            "city": "Merritt Island",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329523514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.