Antoniesha Austin

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Practice address

8805 Norfolk Blvd
Jacksonville, FL 32208-1917

Phone

(904) 343-2218

NPI assigned

Jun 13, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1003346115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66054",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322086054",
            "telephone_number": "904-343-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8805 NORFOLK BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322081917",
            "telephone_number": "904-343-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "ANTONIESHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlie Anne Aurubin, MD, PHD
• Ausome Behaviors LLC
• Ausome Movers LLC
• Casandra Austin McDonald
• Alfred Raymond Austin Jr., DSW
• Chalow Austin, LMHC
• David L Austin, PTA
• Deborah Lynn Austin, LMT-CNMT
• Denise Austin
• Dorian J. Austin, PHARM.,D., R.PH.

• Developmental Disabilities Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.