Active NPI
Maria Fernanda Moreno, LHAS
- Hearing Instrument Specialist
- Hallandale Beach, FL
National Provider Identifier
1982106993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- AS5351
- Practice address
- 2100 E Hallandale Beach Blvd Ste 101
Hallandale Beach, FL 33009 - Phone
- (954) 458-1717
- Fax
- (954) 458-3017
- NPI assigned
- Mar 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | AS5351 | FL | |
| Hearing Instrument Specialist | 237700000X | AS5351 | FL | Primary |
Addresses
Primary practice location
2100 E Hallandale Beach Blvd Ste 101
Hallandale Beach, FL 33009
Mailing address
6700 Washington Ave S
Eden Prairie, MN 55344-3405
Phone (612) 351-1529
Other practice location 1
2100 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 362-9048
Other practice location 2
6221 N University Dr
Tamarac, FL 33321-4022
Phone (954) 572-0905
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AS5351 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AS5351 | FL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hear Right USA LLC | Single Specialty | Current | Accepting new patients |
Organizations & group practices 1
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": "1520294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554940800000",
"number": "1982106993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 WASHINGTON AVE S",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443405",
"telephone_number": "612-351-1529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 E HALLANDALE BEACH BLVD STE 101",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "33009",
"telephone_number": "954-458-1717",
"fax_number": "954-458-3017"
}
],
"practiceLocations": [
{
"address_1": "2100 E Hallandale Beach Blvd",
"address_purpose": "LOCATION",
"city": "Hallandale Beach",
"state": "FL",
"postal_code": "33009",
"country_code": "US",
"telephone_number": "954-362-9048",
"fax_number": "954-458-3017",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6221 N University Dr",
"address_purpose": "LOCATION",
"city": "Tamarac",
"state": "FL",
"postal_code": "333214022",
"country_code": "US",
"telephone_number": "954-572-0905",
"fax_number": "954-572-2630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORENO",
"first_name": "MARIA FERNANDA",
"credential": "LHAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-06",
"last_updated": "2019-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "FL",
"license": "AS5351",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hearing Instrument Specialist",
"state": "FL",
"license": "AS5351",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AS5351",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hallandale Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.