Jonathan Mansfield, AU.D. CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

0000001712 Issued in TN

Practice address

102 Blythewood Dr
Columbia, TN 38401-4828

Phone

(931) 388-3646

Fax

(931) 388-6184

NPI assigned

Apr 20, 2016

Sex

Male

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)

Enrolled

State licenses

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1073967550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BLYTHEWOOD DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014828",
            "telephone_number": "931-388-3646",
            "fax_number": "931-388-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BLYTHEWOOD DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014828",
            "telephone_number": "931-388-3646",
            "fax_number": "931-388-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSFIELD",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "AU.D. CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "0000001712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Mameli, PHARMD
• Heather Alison Maner
• Amy Mangrum
• Anuradha P. Mann, M.D.
• Megan Gordon Manor, NP
• Kylie Mansfield, M.S., CCC-SLP
• Carrie Conatser Marchman, MD
• Mona Kay Marcrum, MS, CCC-SLP
• Brandi L Marcum, AU.D., CCC-A
• Julie Ann Markus, NP-C

• Audiologist in Columbia, TN
• Providers in Columbia, TN by specialty
• Audiologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.