Jennifer Nicole Anderson, HAS, BC-HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

AS5453 Issued in FL

Practice address

202 W Highland Dr
Lakeland, FL 33813-1541

Phone

(863) 619-9900

Fax

(863) 646-3853

NPI assigned

Mar 30, 2022

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• PKC, Inc.

  • Hearing Instrument Specialist
  • Winter Haven, FL
  • NPI 1700800133
  NPD (past)
• Audiology Distribution, LLC

  • Audiologist-Hearing Aid Fitter
  • Dublin, OH
  • NPI 1164707998
  NPD (past)

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1043950926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W HIGHLAND DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131541",
            "telephone_number": "863-619-9900",
            "fax_number": "863-646-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W HIGHLAND DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131541",
            "telephone_number": "863-619-9900",
            "fax_number": "863-646-3853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "490 Avenue K SE",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338804125",
            "country_code": "US",
            "telephone_number": "863-294-8353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1253 US 27 S",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338702172",
            "country_code": "US",
            "telephone_number": "863-471-0016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "credential": "HAS, BC-HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS5453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Heather Andersen, LMHC
• Amy R Anderson, ARNP
• Betsy Anderson, PT
• Bridget Anderson, APRN
• Emily Anderson, M.S.
• Jessica Dawn Anderson, ARNP-C
• Kenisha Anderson
• Kristine Anderson, MSN, APRN
• Megan E Anderson, ATC
• Olivia Anderson, LCSW

• Hearing Instrument Specialist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Hearing Instrument Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.