Leslie Anne Staverman, AUD

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

AY2218 Issued in FL

Practice address

12276 San Jose Blvd Ste 710
Jacksonville, FL 32223-8674

Phone

(904) 262-5550

Fax

(904) 683-4592

NPI assigned

Aug 20, 2018

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

Enrolled in FL

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Staverman Hearing Centers, LLC

  • Audiologist
  • Jacksonville, FL
  • NPI 1417464538

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1043790066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12276 SAN JOSE BLVD STE 710",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238674",
            "telephone_number": "904-262-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12276 SAN JOSE BLVD STE 710",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238674",
            "telephone_number": "904-262-5550",
            "fax_number": "904-683-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVERMAN",
        "first_name": "LESLIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "FL",
            "license": "AY2218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana L. Stauch, ARNP
• John Stauffer, MD
• Kelly Stauffer
• Bethany Juliana Stavely, PHARM.D.
• Staverman Hearing Centers, LLC
• Timothy George Stavropulos, M.A., CCC-SLP
• Stay for the Day Adult Day Care
• Nia Ashlee Stclair
• Andrew Steadman
• Daniel Steadman, D.O.

• Audiologist-Hearing Aid Fitter in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Audiologist-Hearing Aid Fitter in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.