Individual provider Active NPI

Taylor Judith Turner

  • Audiologist
  • Bridgeton, MO
National Provider Identifier
1194357624
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2021020504 Issued in MO
Practice address
12255 De Paul Dr Ste 860
Bridgeton, MO 63044-2515
Phone
(314) 394-1911
Fax
(314) 735-4165
NPI assigned
Feb 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Audiologist 231H00000X 2021020504 MO Primary

Addresses

Primary practice location

12255 De Paul Dr Ste 860
Bridgeton, MO 63044-2515

Mailing address

10097 Manchester Rd Ste 102a
Saint Louis, MO 63122-1828
Phone (314) 394-1911

Other names 1

  • Taylor Judith Proske Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210608002795 MO Practitioner - Qualified Audiologist 4587064811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Or Monitoring Consultants IncGroup PAC ID 8123162153, 4 clinicians

Practice addresses (Care Compare)

12255 De Paul Dr
Suite 860
Bridgeton, MO 63044-2515
Phone (314) 394-1911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Consultants, LLC Audiologist CurrentSince Feb 16, 2020 Accepting new patients
Or Monitoring Consultants Inc Audiologist CurrentSince Jun 7, 2021 Accepting new patients
Hearing Consultants Audiologist PastSince Feb 16, 2020 Accepting new patients

Locations

12255 De Paul Dr
Ste 860
Bridgeton, MO 63044

1345 Smizer Mill Rd
Fenton, MO 63026
Phone (636) 496-4030

1000 Lake Saint Louis Blvd
Ste 115
Lake St Louis, MO 63367

10097 Manchester Rd
Ste 102A
Saint Louis, MO 63122

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.

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1194357624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10097 MANCHESTER RD STE 102A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631221828",
            "telephone_number": "314-394-1911",
            "fax_number": "314-735-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12255 DE PAUL DR STE 860",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442515",
            "telephone_number": "314-394-1911",
            "fax_number": "314-735-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "TAYLOR",
        "middle_name": "JUDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2021020504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "PROSKE",
            "middle_name": "JUDITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.