Individual provider Active NPI

Jody Lyn Eddy, M.S.

  • Audiologist
  • Landenberg, PA
National Provider Identifier
1104155936
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
020000078 Issued in DE
Practice address
7 Peter Christopher Dr
Landenberg, PA 19350-1224
Phone
(610) 255-5808
NPI assigned
Dec 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 020000078 DE Primary

Addresses

Primary practice location

7 Peter Christopher Dr
Landenberg, PA 19350-1224

Mailing address

7 Peter Christopher Dr
Landenberg, PA 19350-1224
Phone (610) 255-5808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041110001010 DE Practitioner - Qualified Audiologist 5991768806 Reassigns benefits to 1 organization
I20110613000339 PA Practitioner - Qualified Audiologist 5991768806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle ENT Alliance LLCGroup PAC ID 7416963988, 70 clinicians
Ud Health LLCGroup PAC ID 6204209034, 53 clinicians

Practice addresses (Care Compare)

460 Creamery Way
103 Oakland Corp Center
Exton, PA 19341-2533
Phone (610) 384-8300

540 S College Ave
Suite 102
Newark, DE 19713-1302
Phone (302) 831-7100

Merit-based Incentive Payment System (MIPS)

Final score
79.53 of 100Reported as group
Quality
74.41
Promoting interoperability
65
Improvement activities
40
Cost
86.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
020000078DEMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ud Health LLC CurrentSince Jan 1, 2023 Accepting new patients
Pinnacle ENT Alliance LLC CurrentSince Feb 1, 2011 Accepting new patients
Ud Health LLC Audiologist CurrentSince Jan 1, 2023 Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients
Christiana Care Health Initiatives Past Accepting new patients
Ud Health LLC Past Accepting new patients

Locations

100 Discovery Blvd
Ste 728
Newark, DE 19713

540 S College Ave
Ste 130
Newark, DE 19713
Phone (302) 831-3195

540 S College Ave
Ste 102
Newark, DE 19713
Phone (302) 831-7100

540 S College Ave
Ste 160
Newark, DE 19713
Phone (302) 831-3000

460 Creamery Way
Ste 103
Exton, PA 19341
Phone (610) 384-8300

301 W Chester Pike
Ste 101
Havertown, PA 19083
Phone (610) 446-6900

689 Unionville Rd
Kennett Square, PA 19348
Phone (610) 444-8446

994 Old Eagle School Rd
Ste 1017
Wayne, PA 19087
Phone (610) 902-6092

795 E Marshall St
Ste 301
West Chester, PA 19380
Phone (610) 384-8300

795 E Marshall St
Ste 303
West Chester, PA 19380
Phone (610) 384-8300

455 Woodview Rd
Ste 210
West Grove, PA 19390
Phone (610) 345-0977

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c7467fb-60f9-4172-add4-57667a5dfcfa/
  • Direct secure messaging: jody.eddy.p1@direct.udel.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1104155936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PETER CHRISTOPHER DR",
            "city": "LANDENBERG",
            "state": "PA",
            "postal_code": "193501224",
            "telephone_number": "610-255-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PETER CHRISTOPHER DR",
            "city": "LANDENBERG",
            "state": "PA",
            "postal_code": "193501224",
            "telephone_number": "610-255-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY",
        "first_name": "JODY",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "DE",
            "license": "020000078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Landenberg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.