NPIMap

Individual provider Active NPI

Jenita L Guthrie, AUDIOLOGY

  • Audiologist
  • Fort Worth, TX
National Provider Identifier
1144460346
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
50726 Issued in TX
Practice address
4736 Bryant Irvin Rd
Suite 702
Fort Worth, TX 76132-3625
Phone
(817) 263-1971
Fax
(817) 263-2365
NPI assigned
Feb 27, 2009
Last updated
Feb 27, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 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 50726 TX Primary

Addresses

Primary practice location

4736 Bryant Irvin Rd
Suite 702
Fort Worth, TX 76132-3625

Mailing address

4736 Bryant Irvin Rd
Suite 702
Fort Worth, TX 76132-3625
Phone (817) 263-1971

Other identifiers 1

IdentifierTypeStateIssuer
50726OtherTXTX LICENSE

Other names 1

  • Jenita L Guthrie Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lucas Hearing and Balance Center Past Accepting new patients
Benke Ear Nose and Throat Clinic Audiologist PastSince Oct 1, 2000 Accepting new patients
Hearing Improvement Inc Audiologist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235692800000",
    "number": "1144460346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4736 BRYANT IRVIN RD",
            "address_2": "SUITE 702",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323625",
            "telephone_number": "817-263-1971",
            "fax_number": "817-263-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4736 BRYANT IRVIN RD",
            "address_2": "SUITE 702",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323625",
            "telephone_number": "817-263-1971",
            "fax_number": "817-263-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHRIE",
        "first_name": "JENITA",
        "middle_name": "L",
        "credential": "AUDIOLOGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "50726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE",
            "identifier": "50726",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENITA",
            "last_name": "GUTHRIE",
            "middle_name": "L",
            "credential": "AUDIOLOGY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.