Individual provider Active NPI

Jacqueline M Dannreuther, M.A., CCC-A

  • Audiologist
  • Pensacola, FL
National Provider Identifier
1255595237
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY 1493 Issued in FL
Practice address
5147 N 9TH Ave
Ste 315
Pensacola, FL 32504-8771
Phone
(850) 473-0112
Fax
(850) 473-0118
NPI assigned
Jul 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY 1493 FL Primary

Addresses

Primary practice location

5147 N 9TH Ave
Ste 315
Pensacola, FL 32504-8771

Mailing address

2795 E Cottonwood Pkwy Ste 660
Salt Lake City, UT 84141-0001
Phone (850) 473-0112

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090526000514 FL Practitioner - Qualified Audiologist 5496804312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Louisiana State University School of Medicine in New Orleans, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audiology Services Company USA LLCGroup PAC ID 9032414701, 5 clinicians

Practice addresses (Care Compare)

5147 N 9TH Ave
Suite 315
Pensacola, FL 32504-8794
Phone (850) 473-0112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AY 1493FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC CurrentSince Feb 1, 2017 Accepting new patients
Audiology Services Company USA, LLC Audiologist CurrentSince Feb 1, 2017 Accepting new patients

Locations

3754 Highway 90
Ste 350
Pace, FL 32571
Phone (850) 889-4261

3375 Burns Rd
Ste 106
Palm Beach Gardens, FL 33410
Phone (561) 624-7525

5147 N 9th Ave
Ste 315
Pensacola, FL 32504
Phone (850) 473-0112

3819 Murrell Rd
Ste B
Rockledge, FL 32955
Phone (321) 252-1412

1106 W New Haven Ave
West Melbourne, FL 32904
Phone (321) 724-1877

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

2501 Cottontail Ln
Ste 101
Somerset, NJ 08873
Phone (801) 918-8544

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1255595237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 E COTTONWOOD PKWY STE 660",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841410001",
            "telephone_number": "850-473-0112",
            "fax_number": "850-473-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5147 N 9TH AVE",
            "address_2": "STE 315",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048771",
            "telephone_number": "850-473-0112",
            "fax_number": "850-473-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNREUTHER",
        "first_name": "JACQUELINE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY 1493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.