Active NPI
Meghan Kathleen Jensen, AU.D.
- Audiologist
- Fort Mill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 4055
- Practice address
- 870 Gold Hill Rd
Suite 104
Fort Mill, SC 29708-8985 - Phone
- (803) 620-8250
- Fax
- (803) 638-6901
- NPI assigned
- Jan 19, 2007
- Last updated
- Dec 6, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 6624 | NC | |
| Audiologist | 231H00000X | 4055 | SC | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 4055 | SC | |
| Audiologist-Hearing Aid Fitter | 237600000X | 6624 | NC |
Addresses
Primary practice location
870 Gold Hill Rd
Suite 104
Fort Mill, SC 29708-8985
Mailing address
870 Gold Hill Rd
#104
Fort Mill, SC 29708-8985
Phone (803) 620-8250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA1690 | Medicaid | SC |
Other names 1
- Ms. Meghan Kathleen Drexel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
870 Gold Hill Rd
Suite 104
Fort Mill, SC 29708-8988
Phone (803) 620-8250
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6624 | NC | MD | Mental Health Counselor |
| 4055 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Audiology LLC | Audiologist | Current | Accepting new patients |
| Cornerstone Ear Nose & Throat PA | Current | Accepting new patients | |
| Lakeside Audiology LLC | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Cornerstone Ear Nose & Throat PA | Past | Accepting new patients |
Locations
1107 Reynolds St
Monroe, NC 28112
Phone (704) 289-8220
870 Gold Hill Rd
Ste 104
Fort Mill, SC 29708
Phone (803) 620-8250
Organizations & group practices 4
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.
-
- Specialist
- Monroe, NC
- NPI 1538171871
-
- Otolaryngology Physician
- Indian Land, SC
- NPI 1932800745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1255484549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 GOLD HILL RD",
"address_2": "#104",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297088985",
"telephone_number": "803-620-8250",
"fax_number": "803-638-6901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 GOLD HILL RD",
"address_2": "SUITE 104",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297088985",
"telephone_number": "803-620-8250",
"fax_number": "803-638-6901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "MEGHAN",
"middle_name": "KATHLEEN",
"name_prefix": "Ms.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "6624",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "SC",
"license": "4055",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "SC",
"license": "4055",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NC",
"license": "6624",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SA1690",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MEGHAN",
"last_name": "DREXEL",
"middle_name": "KATHLEEN",
"prefix": "MS.",
"credential": "CCC-A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.