MEDICARE: DR. RISA BETH BARNETT-PADENI AUD. CCC-A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	AY173	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225174469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RISA BETH BARNETT-PADENI AUD. CCC-A

Provider Business Mailing Address
First Line	:	10337 GREEN LINKS DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33626-5400
Country	:	US
Telephone Number	:	727-767-8314
Fax Number	:	727-767-8998

Provider Business Practice Location Address
First Line	:	880 6TH ST S STE 170
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33701-4823
Country	:	US
Telephone Number	:	727-767-8314
Fax Number	:	727-767-8998

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	07/09/2007

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