First Coast Mobile Audiology, LLC

Primary specialty

Hearing Aid EquipmentTaxonomy code 332S00000X

License

AY1214 Issued in FL

Legal business name

FIRST COAST MOBILE AUDIOLOGY, LLC

Practice address

1065 Meadow View LN
St Augustine, FL 32092-1055

Phone

(904) 982-4833

NPI assigned

Nov 30, 2016

Last updated

Nov 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Melisa Sharpe, AU.D.NPI 1063966166

Title

Doctor of Audiology

Phone

(904) 982-4833

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melisa Sharpe, AU.D.

  • Audiologist
  • Ponte Vedra Beach, FL
  • NPI 1063966166
  Medicare reassignment Care Compare group Authorized official
• Paxton-Ouellette B La Forge, AU.D.

  • Audiologist
  • Ponte Vedra Beach, FL
  • NPI 1487540019
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1962945550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 MEADOW VIEW LN",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320921055",
            "telephone_number": "904-982-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 MEADOW VIEW LN",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320921055",
            "telephone_number": "904-982-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COAST MOBILE AUDIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "SHARPE",
        "authorized_official_first_name": "MELISA",
        "authorized_official_title_or_position": "DOCTOR OF AUDIOLOGY",
        "authorized_official_telephone_number": "904-982-4833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "FL",
            "license": "AY1214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Coast First Assistants
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• First Coast Heart and Vascular at Flagler Health Inc.
• First Coast Integrative Psychiatry
• First Coast Medical & Dental Supply, LLC
• First Coast Mobility LLC
• First Coast Oral & Facial Surgery, PA
• First Coast Pain and Spine Center LLC
• First Coast Pain Consultants PLLC
• First Coast Pain Management

• Hearing Aid Equipment in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Hearing Aid Equipment in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.