Active NPI
Kendall P Varney, AUDIOLOGIST
- Audiologist
- Lake City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY1402
- Practice address
- 132 SW Columbia Ave Ste 101
Lake City, FL 32025-4304 - Phone
- (386) 754-6711
- Fax
- (386) 754-6713
- NPI assigned
- Aug 26, 2009
- 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 | AY1402 | FL | Primary |
Addresses
Primary practice location
132 SW Columbia Ave Ste 101
Lake City, FL 32025-4304
Mailing address
132 SW Columbia Ave Ste 101
Lake City, FL 32025-4304
Phone (386) 754-6711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
132 SW Columbia Ave
Suite 101
Lake City, FL 32025-4304
Phone (386) 754-6711
155 E Orange St
Jesup, GA 31546-4616
Phone (912) 427-9392
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Care Resources, Inc. | Current | Accepting new patients |
Locations
132 SW Columbia Ave
Ste 101
Lake City, FL 32025
Phone (386) 754-6711
109 Howard St E
Live Oak, FL 32064
Phone (386) 362-5452
480 W Lowder St
Macclenny, FL 32063
Phone (904) 259-6291
2007 Parkwood Dr
Brunswick, GA 31520
Phone (912) 267-1400
155 E Orange St
Jesup, GA 31546
Phone (812) 427-9392
102 Lakeshore Dr
Ste B
Saint Marys, GA 31558
Phone (912) 576-7546
39 Kent Rd
Ste 1
Tifton, GA 31794
Phone (229) 391-3555
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251244800000",
"number": "1164655080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 SW COLUMBIA AVE STE 101",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320254304",
"telephone_number": "386-754-6711",
"fax_number": "386-754-6713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 SW COLUMBIA AVE STE 101",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320254304",
"telephone_number": "386-754-6711",
"fax_number": "386-754-6713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARNEY",
"first_name": "KENDALL",
"middle_name": "P",
"credential": "AUDIOLOGIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-26",
"last_updated": "2009-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY1402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.