Jennifer Marie Taylor, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

103567 Issued in MO

Practice address

1390 Highway 61 South
Crystal City, MO 63019-0350

Phone

(636) 933-1606

Fax

(636) 933-1871

NPI assigned

Jul 9, 2008

Last updated

Jan 13, 2009By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

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  • Specialist
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  • NPI 1316065972
  Medicare reassignment

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1053574194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350",
            "address_2": "1390 HIGHWAY 61-67 SOUTH",
            "city": "CRYSTAL CITY",
            "state": "MO",
            "postal_code": "630190350",
            "telephone_number": "636-933-1606",
            "fax_number": "636-933-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 HIGHWAY 61 SOUTH",
            "city": "CRYSTAL CITY",
            "state": "MO",
            "postal_code": "630190350",
            "telephone_number": "636-933-1606",
            "fax_number": "636-933-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "103567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MISSOURI DIVISION OF PROFESSIONAL REGISTRATION",
            "identifier": "103567",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Ramacher, PT
• Rebel Wellness, LLC (Balanced Wellness)
• Melani Saito, PLPC
• Earl Scott, MD
• Janet Sinks, RN CS FNP
• Sara M Taylor, PA-C
• Tiffany Nicole Thomas, MA, LPC
• Trinity Family Chiropractic, LLC
• Trudell Counseling
• Trudell Counseling LLC

• Audiologist in Crystal City, MO
• Providers in Crystal City, MO by specialty
• Audiologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.