Joshlyn Jacob, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AY2796 Issued in FL

Practice address

11200 Seminole Blvd Ste 301
Largo, FL 33778-3240

Phone

(727) 977-5222

Fax

(813) 265-3355

NPI assigned

Mar 27, 2024

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

Enrolled in FL

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dan Gardner IncGroup PAC ID 8921176363, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Dan Gardner Inc

  • Audiologist
  • Crystal River, FL
  • NPI 1063515955
  Medicare reassignment Care Compare group NPD
• Audiology Distribution, LLC

  • Audiologist-Hearing Aid Fitter
  • Dublin, OH
  • NPI 1164707998
  NPD (past)

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1134979420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254056",
            "telephone_number": "813-265-2255",
            "fax_number": "813-265-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 SEMINOLE BLVD STE 301",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337783240",
            "telephone_number": "727-977-5222",
            "fax_number": "813-265-3355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2445 Tampa Rd Ste H",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346835849",
            "country_code": "US",
            "telephone_number": "800-277-1182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOB",
        "first_name": "JOSHLYN",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Jabs
• Jackson Medical Supply, Inc
• Alizay Jackson
• Kelly Donald Jackson, DDS
• Robin Jackson
• Frank Mac Jacobs, LMFT, LMHC, CAP
• Nathan David Jacobsen, DO
• Stefanie Jacobson
• Jaime Medical, Inc.
• Christopher Jainandan, LMHC, NCC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.