Kathryn Alyssa Dziwulski

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AY3012 Issued in FL

Practice address

3627 University Blvd S Ste 500
Jacksonville, FL 32216-7405

Phone

(904) 858-1912

NPI assigned

Jun 22, 2026

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1124954854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11945 SAN JOSE BLVD STE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231627",
            "telephone_number": "904-396-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 UNIVERSITY BLVD S STE 500",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322167405",
            "telephone_number": "904-858-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZIWULSKI",
        "first_name": "KATHRYN",
        "middle_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY3012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dynamic Physical Therapy of Jacksonville
• Jeri Anice Dyson, M.D.
• Amy Cecilia Dziekowicz
• David Michael Dzion
• Andrea Dziwulski, PA
• E & I Picc Partners Inc
• E & M Oasis
• E & P Florida LLC
• E Edward Franco MD PA
• E Pharmacy, Inc.

• Audiologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Audiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.