Individual provider Active NPI

Stephanie Johnson

  • Hearing Instrument Specialist
  • Orange Park, FL
National Provider Identifier
1053144386
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS5830 Issued in FL
Practice address
1406 Kingsley Ave Ste A1
Orange Park, FL 32073-4528
Phone
(904) 637-5550
NPI assigned
Aug 22, 2024
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X AS5830 FL Primary

Addresses

Primary practice location

1406 Kingsley Ave Ste A1
Orange Park, FL 32073-4528

Mailing address

1406 Kingsley Ave Ste A1
Orange Park, FL 32073-4528
Phone (904) 637-5550

Other practice location 1

10752 Deerwood Park Blvd Ste 100
Jacksonville, FL 32256-4846
Phone (904) 637-5550

Other practice location 2

440 S Lawrence Blvd
Keystone Heights, FL 32656-9221
Phone (352) 877-4471

Other identifiers 1

IdentifierTypeStateIssuer
AS5830OtherFLHEARING AID SPECIALIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AS5830FLMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing AIDS Today CurrentSince Aug 25, 2024 Accepting new patients
Click Hear Now, LLC Current Accepting new patients
All About Hearing AIDS, Inc. Hearing Instrument Specialist Current Accepting new patients

Locations

10752 Deerwood Park Blvd
Ste 100
Jacksonville, FL 32256
Phone (407) 953-9734

450 S Lawrence Blvd
Keystone Heights, FL 32656
Phone (352) 270-3215

1406 Kingsley Ave
Ste A1
Orange Park, FL 32073
Phone (904) 637-5550

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.

NPI Registry JSON

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1053144386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 KINGSLEY AVE STE A1",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734528",
            "telephone_number": "904-637-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 KINGSLEY AVE STE A1",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734528",
            "telephone_number": "904-637-5550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10752 Deerwood Park Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322564846",
            "country_code": "US",
            "telephone_number": "904-637-5550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 S Lawrence Blvd",
            "address_purpose": "LOCATION",
            "city": "Keystone Heights",
            "state": "FL",
            "postal_code": "326569221",
            "country_code": "US",
            "telephone_number": "352-877-4471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS5830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING AID SPECIALIST",
            "identifier": "AS5830",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.