Active NPI
Stacey Jackson
- Hearing Instrument Specialist
- Lakeland, FL
National Provider Identifier
1255132932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- Practice address
- 1705 Lakeland Hills Blvd
Lakeland, FL 33805-3001 - Phone
- (863) 210-5058
- NPI assigned
- Mar 20, 2025
- Last updated
- Mar 20, 2025
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | Primary |
Addresses
Primary practice location
1705 Lakeland Hills Blvd
Lakeland, FL 33805-3001
Mailing address
202 W Highland Dr
Lakeland, FL 33813-1541
Other practice location 1
1253 US 27 S
Sebring, FL 33870-2172
Phone (863) 471-0016
Other practice location 2
202 W Highland Dr
Lakeland, FL 33813-1541
Phone (863) 619-9900
Other practice location 3
490 Avenue K SE
Winter Haven, FL 33880-4125
Phone (863) 294-8353
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Distribution, LLC | Past | Accepting new patients | |
| PKC, Inc. | Hearing Instrument Specialist | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Beltone Hearing Aid Center
- Hearing Instrument Specialist
- Winter Haven, FL
- NPI 1700800133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1255132932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 W HIGHLAND DR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338131541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053001",
"telephone_number": "863-210-5058"
}
],
"practiceLocations": [
{
"address_1": "1253 US 27 S",
"address_purpose": "LOCATION",
"city": "Sebring",
"state": "FL",
"postal_code": "338702172",
"country_code": "US",
"telephone_number": "863-471-0016",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "202 W Highland Dr",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "338131541",
"country_code": "US",
"telephone_number": "863-619-9900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "490 Avenue K SE",
"address_purpose": "LOCATION",
"city": "Winter Haven",
"state": "FL",
"postal_code": "338804125",
"country_code": "US",
"telephone_number": "863-294-8353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "STACEY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-20",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.