Individual provider Active NPI

Jean M Davison, AU.D.

  • Audiologist
  • Lewes, DE
National Provider Identifier
1184881591
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
020000067 Issued in DE
Practice address
17005 Old Orchard Rd
Lewes, DE 19958-4828
Phone
(302) 703-4025
Fax
(302) 703-4027
NPI assigned
May 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 020000067 DE Primary

Addresses

Primary practice location

17005 Old Orchard Rd
Lewes, DE 19958-4828

Mailing address

17005 Old Orchard Rd
Lewes, DE 19958-4828
Phone (302) 703-4025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100505000551 DE Practitioner - Qualified Audiologist 1052449444 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cape ENT, P.a. Audiologist CurrentSince May 15, 2018 Accepting new patients

Locations

18947 John J Williams Hwy
Unit 201
Rehoboth Beach, DE 19971
Phone (302) 645-4801

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.

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape ENT, P.a. 4 clinicians

Practice addresses (Care Compare)

17005 Old Orchard Rd
Lewes, DE 19958-4828
Phone (302) 703-4025

Merit-based Incentive Payment System (MIPS)

Final score
86.2 of 100Reported as group
Quality
78.8
Improvement activities
40
Cost
82.27

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1184881591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17005 OLD ORCHARD RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584828",
            "telephone_number": "302-703-4025",
            "fax_number": "302-703-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17005 OLD ORCHARD RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584828",
            "telephone_number": "302-703-4025",
            "fax_number": "302-703-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVISON",
        "first_name": "JEAN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "DE",
            "license": "020000067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.