Active NPI
Kaitlin Prizzia, AUD
- Audiologist
- Saint Johns, FL
National Provider Identifier
1285174664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2216
- Practice address
- 1009 Wilmot PL
Saint Johns, FL 32259-5948 - Phone
- (904) 874-1376
- NPI assigned
- Mar 3, 2017
- Last updated
- Sep 20, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2216 | FL | Primary |
| Audiologist | 231H00000X | 4067 | SC |
Addresses
Primary practice location
1009 Wilmot PL
Saint Johns, FL 32259-5948
Mailing address
1009 Wilmot PL
Saint Johns, FL 32259-5948
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2216 | FL | MD | Physical Therapist |
| 4067 | SC | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1285174664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 WILMOT PL",
"city": "SAINT JOHNS",
"state": "FL",
"postal_code": "322595948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 WILMOT PL",
"city": "SAINT JOHNS",
"state": "FL",
"postal_code": "322595948",
"telephone_number": "904-874-1376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIZZIA",
"first_name": "KAITLIN",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-03",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "2216",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "SC",
"license": "4067",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Johns, FL
- Aruna Polsani, M.B.B.S
- Ariella Erin Cuenca Poon, OD
- Erin Louise Porter
- Jessica Carolyn Price
- Primarywerx LLC
- PT Solutions of Pensacola, LLC
- Publix Super Markets Inc. (Publix Central Pharmacy #3202-03)
- Publix Super Markets, Inc (Publix Pharmacy #1766)
- Publix Super Markets, Inc (Publix Pharmacy 1667)
- Publix Super Markets, Inc. (Publix Pharmacy #1684)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.