Individual provider Active NPI

Kendall P Varney, AUDIOLOGIST

  • Audiologist
  • Lake City, FL
National Provider Identifier
1164655080
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1402 Issued in FL
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

Updated by the provider on Aug 26, 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 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, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090928000292 FL Practitioner - Qualified Audiologist 0840346243 Reassigns benefits to 1 organization
I20091028000597 GA Practitioner - Qualified Audiologist 0840346243 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Hearing Care Resources, Inc. CurrentSince May 14, 2003 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.

Verify at the official NPI Registry.