Jessica Chen, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AY2645 Issued in FL

Practice address

700 SE 5TH Ter Ste 11
Crystal River, FL 34429-4877

Phone

(352) 795-5700

Fax

(352) 795-8663

NPI assigned

Aug 2, 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

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Dan Gardner Inc

  dba Gardner Audiology

  • Audiologist
  • Crystal River, FL
  • NPI 1063515955
  Medicare reassignment NPD
• Audiology Distribution, LLC

  dba HearUSA

  • 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": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1053048991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254056",
            "telephone_number": "813-265-2255",
            "fax_number": "813-265-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SE 5TH TER STE 11",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294877",
            "telephone_number": "352-795-5700",
            "fax_number": "352-795-8663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Highway 44 W",
            "address_purpose": "LOCATION",
            "city": "Inverness",
            "state": "FL",
            "postal_code": "344533722",
            "country_code": "US",
            "telephone_number": "352-419-6565",
            "fax_number": "352-795-8663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JESSICA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Florida Clinic for Rehabilitation
• Melanie Chacon
• Karen M Champagne-Lister, LSW
• Sreekanth Chandrupatla, M.D.
• William M Charles, D.O.
• Joyce Chester
• CHI-Kwong NG, M.D.P.a.
• CHS Services 1, LLC (Gentiva)
• Kathryn Lianne Churchill
• Kayla Roberta Ciccotto, APRN

• Audiologist in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Audiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.

Verify at the official NPI Registry.