Individual provider Active NPI

Jay H Underwood, M.A., F-AAA

  • Audiologist
  • Palm Coast, FL
National Provider Identifier
1215934567
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY689 Issued in FL
Practice address
50 Cypress Point Pkwy
Suite B3
Palm Coast, FL 32164-2500
Phone
(386) 447-7364
Fax
(386) 447-8742
NPI assigned
Jul 1, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY689 FL Primary

Addresses

Primary practice location

50 Cypress Point Pkwy
Suite B3
Palm Coast, FL 32164-2500

Mailing address

50 Cypress Point Pkwy
Suite B3
Palm Coast, FL 32164-2500
Phone (386) 447-7364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
AY689FLMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1215934567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CYPRESS POINT PKWY",
            "address_2": "SUITE B3",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642500",
            "telephone_number": "386-447-7364",
            "fax_number": "386-447-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CYPRESS POINT PKWY",
            "address_2": "SUITE B3",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642500",
            "telephone_number": "386-447-7364",
            "fax_number": "386-447-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "JAY",
        "middle_name": "H",
        "credential": "M.A., F-AAA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.