Individual provider Active NPI

Lynette Leslie Dornton, AUD

  • Audiologist
  • Bradenton, FL
National Provider Identifier
1992019863
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1625 Issued in FL
Practice address
701 Manatee Avenue West
Suite 201
Bradenton, FL 34205-8624
Phone
(941) 749-5222
Fax
(941) 749-1839
NPI assigned
Aug 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1625 FL Primary

Addresses

Primary practice location

701 Manatee Avenue West
Suite 201
Bradenton, FL 34205-8624

Mailing address

701 Manatee Avenue West
Suite 201
Bradenton, FL 34205-8624
Phone (941) 749-5222

Other practice location 1

400 8th St N
Suite 301
Naples, FL 34102-5519
Phone (239) 262-1171

Other identifiers 1

IdentifierTypeStateIssuer
AY1625OtherFLLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100923000686 FL Practitioner - Qualified Audiologist 1456477827 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manatee Hearing and Speech Center IncGroup PAC ID 2860474822, 11 clinicians

Practice addresses (Care Compare)

701 Manatee Ave W
Suite 201
Bradenton, FL 34205-8624
Phone (941) 749-5222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY1625FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearcare Audiology Center Inc Audiologist CurrentSince Feb 20, 2023 Accepting new patients
Manatee Hearing & Speech Center Inc CurrentSince Aug 1, 2023 Accepting new patients
Manatee Hearing & Speech Center, Inc. Audiologist CurrentSince Aug 1, 2023 Accepting new patients
SMH Physician Services Inc CurrentSince Jan 2, 2021 Accepting new patients

Locations

701 Manatee Ave W
Ste 201
Bradenton, FL 34205
Phone (941) 749-5222

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

2800 Hillview St
Sarasota, FL 34239
Phone (941) 316-0406

1901 Floyd St
Sarasota, FL 34239
Phone (941) 366-9222

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1992019863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MANATEE AVENUE WEST",
            "address_2": "SUITE 201",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058624",
            "telephone_number": "941-749-5222",
            "fax_number": "941-749-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MANATEE AVENUE WEST",
            "address_2": "SUITE 201",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058624",
            "telephone_number": "941-749-5222",
            "fax_number": "941-749-1839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 8th St N",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341025519",
            "country_code": "US",
            "telephone_number": "239-262-1171",
            "fax_number": "239-261-8491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORNTON",
        "first_name": "LYNETTE",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2023-10-12",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AY1625",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.