Active NPI
Angela R Johnson, AUD
- Audiologist
- Jacksonville, FL
National Provider Identifier
1225445448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY 1876
- Practice address
- 14546 Old Saint Augustine Rd Ste 301
Jacksonville, FL 32258-5472 - Phone
- (904) 202-6410
- Fax
- (904) 390-7382
- NPI assigned
- Jul 21, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY 1876 | FL | Primary |
Addresses
Primary practice location
14546 Old Saint Augustine Rd Ste 301
Jacksonville, FL 32258-5472
Mailing address
PO Box 41516
Jacksonville, FL 32203-1516
Phone (904) 202-5111
Other names 1
- Angela R Ambrosio
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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14546 Old Saint Augustine Rd
Suite 301
Jacksonville, FL 32258-5472
Phone (904) 202-6410
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.79 of 100
- Quality
- 64.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AY 1876 | FL | MD | Audiologist |
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.
-
- Surgery Physician
- Jacksonville, FL
- NPI 1912953290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514419200000",
"number": "1225445448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 41516",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322031516",
"telephone_number": "904-202-5111",
"fax_number": "904-391-5836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14546 OLD SAINT AUGUSTINE RD STE 301",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322585472",
"telephone_number": "904-202-6410",
"fax_number": "904-390-7382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ANGELA",
"middle_name": "R",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-21",
"last_updated": "2017-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY 1876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "AMBROSIO",
"middle_name": "R",
"credential": "AUD",
"code": "1",
"type": "Former Name"
}
]
}
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 Dec 28, 2017; 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.