Individual provider Active NPI

Laura Ann Bradley Pratesi

  • Audiologist
  • Clermont, FL
National Provider Identifier
1972858728
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1845 Issued in FL
Practice address
835 7TH St Ste 2
Clermont, FL 34711-2190
Phone
(352) 989-5123
Fax
(352) 989-5028
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1845 FL Primary

Addresses

Primary practice location

835 7TH St Ste 2
Clermont, FL 34711-2190

Mailing address

835 7TH St Ste 2
Clermont, FL 34711-2190
Phone (352) 989-5123

Other practice location 1

280 Farner Pl
The Villages, FL 32163-6066
Phone (352) 674-1710

Other names 1

  • Ms. Laura Ann Bradley Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140922000696 FL Practitioner - Qualified Audiologist 3971754292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citrus Hearing Clinic LLCGroup PAC ID 5496010969, 2 clinicians

Practice addresses (Care Compare)

835 7TH St
Suite 2
Clermont, FL 34711-2190
Phone (352) 989-5123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY1845FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Milton Hall Surgical Associates, LLC CurrentSince Jun 1, 2012 Accepting new patients
Audiology Distribution, LLC Past Accepting new patients

Locations

2365 Old Milton Pkwy
Ste 300
Alpharetta, GA 30009
Phone 7705161775201

710 Newnan Crossing Byp
Ste E
Newnan, GA 30263
Phone (678) 708-4300

1595 Highway 34 E
Newnan, GA 30265
Phone (678) 206-2202

4000 Shakerag Hl
Ste 204
Peachtree City, GA 30269
Phone (678) 578-7636

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 3

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": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1972858728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 7TH ST STE 2",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112190",
            "telephone_number": "352-989-5123",
            "fax_number": "352-989-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 7TH ST STE 2",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112190",
            "telephone_number": "352-989-5123",
            "fax_number": "352-989-5028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Farner Pl",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321636066",
            "country_code": "US",
            "telephone_number": "352-674-1710",
            "fax_number": "352-674-8910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY PRATESI",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "BRADLEY",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.