Active NPI
Jay Thomas Burton, M.A., CCC-A
- Audiologist
- Gainesville, FL
National Provider Identifier
1164612503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY0000215
- Practice address
- 5415 SW 64TH St
Gainesville, FL 32608-9605 - Phone
- (352) 338-4900
- Fax
- (252) 338-4951
- NPI assigned
- Aug 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY0000215 | FL | Primary |
Addresses
Primary practice location
5415 SW 64TH St
Gainesville, FL 32608-9605
Mailing address
5416 SW 64TH Street
Gainesville, FL 32608-9605
Phone (352) 338-4900
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AY0000215 | FL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Malcolm Randall Vamc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Gainesville, FL
- NPI 1972767333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315440000000",
"number": "1164612503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5416 SW 64TH STREET",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326089605",
"telephone_number": "352-338-4900",
"fax_number": "352-338-4951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5415 SW 64TH ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326089605",
"telephone_number": "352-338-4900",
"fax_number": "252-338-4951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURTON",
"first_name": "JAY",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "M.A., CCC-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-01",
"last_updated": "2011-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY0000215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.