Active NPI
Leslie Ann Newmeyer, M.ED., CCC-A
- Audiologist-Hearing Aid Fitter
- Jacksonville, FL
National Provider Identifier
1174621163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AY1663
- Practice address
- 12276 San Jose Blvd
Suite 710
Jacksonville, FL 32223-8628 - Phone
- (904) 262-5550
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 3486 | GA | |
| Audiologist-Hearing Aid Fitter | 237600000X | AY1663 | FL | Primary |
Addresses
Primary practice location
12276 San Jose Blvd
Suite 710
Jacksonville, FL 32223-8628
Mailing address
12276 San Jose Blvd
Suite 710
Jacksonville, FL 32223-8628
Phone (904) 262-5550
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3486 | Other | GA | STATE LICENSE |
| AY1663 | Other | FL | FLORIDA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
150 Warren Cir
Suite 5a
Saint Johns, FL 32259-3845
Phone (904) 342-5217
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AY1663 | FL | MD | Audiologist-Hearing Aid Fitter |
| 3486 | GA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jax Audiology & Hearing Aid Center, Inc. | Current | Accepting new patients | |
| Audiology Distribution, LLC | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Wellstar Bi-County ENT, LLC | Past | Accepting new patients |
Locations
150 Warren Cir
Ste 5A
St Johns, FL 32259
Phone (404) 697-7255
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 and National Provider Directory roles.
-
- Audiologist
- Saint Johns, FL
- NPI 1891247821
-
- Audiologist-Hearing Aid Fitter
- Dublin, OH
- NPI 1164707998
-
- Otolaryngology Physician
- Douglasville, GA
- NPI 1629399555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409097600000",
"number": "1174621163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12276 SAN JOSE BLVD",
"address_2": "SUITE 710",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322238628",
"telephone_number": "904-262-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12276 SAN JOSE BLVD",
"address_2": "SUITE 710",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322238628",
"telephone_number": "904-262-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMEYER",
"first_name": "LESLIE",
"middle_name": "ANN",
"credential": "M.ED., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2014-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "GA",
"license": "3486",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "FL",
"license": "AY1663",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "3486",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE",
"identifier": "AY1663",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.