Active NPI
Jennifer Lynn Johnson, AUD
- Audiologist
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY2058
- Practice address
- 50 Sturtevant St
Orlando, FL 32806-2022 - Phone
- (321) 841-6144
- Fax
- (407) 649-8869
- NPI assigned
- Sep 2, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 231H00000X | 80321 | TX | |
| Audiologist | 231H00000X | AY2058 | FL | Primary |
Addresses
Primary practice location
50 Sturtevant St
Orlando, FL 32806-2022
Mailing address
50 Sturtevant St
Orlando, FL 32806-2022
Phone (321) 841-6144
Other practice location 1
3636 W Dallas St
Houston, TX 77019-1704
Phone (713) 523-3633 ext. 105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AY2058 | FL | MD | Audiologist |
| 80321 | TX | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| The Center for Hearing and Speech | Audiologist | Past | Accepting new patients |
Locations
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
92 W Miller St
Orlando, FL 32806
Phone (321) 841-4607
50 Sturtevant St
Orlando, FL 32806
Phone (321) 841-6144
Networks
- FL HMO
- FL HMO D-SNP
- FL HMO C-SNP
- FL PPO
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
dba Texas Hearing Institute
- Hearing and Speech Clinic/Center
- Houston, TX
- NPI 1831231943
Audiologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1013298199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 STURTEVANT ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062022",
"telephone_number": "321-841-6144",
"fax_number": "407-649-8869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 STURTEVANT ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062022",
"telephone_number": "321-841-6144",
"fax_number": "407-649-8869"
}
],
"practiceLocations": [
{
"address_1": "3636 W Dallas St",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770191704",
"country_code": "US",
"telephone_number": "713-523-3633 x105",
"fax_number": "713-523-8399",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-02",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "80321",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY2058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.