Provider Demographics
NPI:1245452150
Name:HINGST, VICKY ANN (AUD)
Entity type:Individual
Prefix:MS
First Name:VICKY
Middle Name:ANN
Last Name:HINGST
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6044 TIMBERWOOD CIRCLE
Mailing Address - Street 2:203
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-8411
Mailing Address - Country:US
Mailing Address - Phone:810-210-8124
Mailing Address - Fax:239-498-4172
Practice Address - Street 1:2332 PINE RIDGE ROAD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-2003
Practice Address - Country:US
Practice Address - Phone:239-434-7000
Practice Address - Fax:239-498-4172
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000443174400000X
FLAY1347231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI640B526050OtherAUDIOLOGY BCBS
MI540B50320OtherHEARING AID DEALER BCBS
FLAY1347OtherFLORIDA LICENSE