Mary Jude San Miguel

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

290047 Issued in KY

Practice address

406 Blankenbaker Pkwy Ste a
Louisville, KY 40243-1881

Phone

(502) 434-5176

NPI assigned

Oct 31, 2018

Last updated

Jul 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Audiology Services Company USA, LLC

  dba Hearinglife

  • Hearing and Speech Clinic/Center
  • Somerset, NJ
  • NPI 1033585302

  Hearing Instrument Specialist

  NPD (past)

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1033686787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 BLANKENBAKER PKWY STE A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431881",
            "telephone_number": "502-434-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 BLANKENBAKER PKWY STE A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431881",
            "telephone_number": "502-434-5176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2870 Charlestown Rd",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471501978",
            "country_code": "US",
            "telephone_number": "812-590-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAN MIGUEL",
        "first_name": "MARY",
        "middle_name": "JUDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IN",
            "license": "17001299A",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "KY",
            "license": "290047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashton Tierra Samuels-Powell, DMD
• Julene Braunecker Samuels, M.D.
• Paul J Samuels, M.D.
• Rebekah Samuels
• Joshua Carl Samuelson, PHARM.D.
• Sana Palliative Care LLC
• Erick Hector Sanares, PT
• Milad Sanati, PHARMD
• Gleydis Sanchez
• Jamie Sanchez, LCSW

• Hearing Instrument Specialist in Louisville, KY
• Providers in Louisville, KY by specialty
• Hearing Instrument Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.