Individual provider Active NPI

Jennifer Thomas, AUD, CCC-A

  • Audiologist
  • Pensacola, FL
National Provider Identifier
1306275797
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1136A Issued in AL
Practice address
4900 N Davis Hwy
Ste a
Pensacola, FL 32503-2344
Phone
(850) 476-0700
Fax
(850) 476-4300
NPI assigned
Nov 5, 2013
Last updated
Feb 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1136A AL Primary
Audiologist 231H00000X AY 2010 FL

Addresses

Primary practice location

4900 N Davis Hwy
Ste a
Pensacola, FL 32503-2344

Mailing address

4900 N Davis Hwy
Ste a
Pensacola, FL 32503-2344
Phone (850) 476-0700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160406001648 FL Practitioner - Qualified Audiologist 9335369677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

141 Mack Bayou Loop
Suite 202
Santa Rosa Beach, FL 32459-7194
Phone (850) 622-0996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY 2010FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aaron B Stein MD PLLC PastSince Feb 22, 2016 Accepting new patients
North River E.N.T., PC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1306275797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 N DAVIS HWY",
            "address_2": "STE A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032344",
            "telephone_number": "850-476-0700",
            "fax_number": "850-476-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 N DAVIS HWY",
            "address_2": "STE A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032344",
            "telephone_number": "850-476-0700",
            "fax_number": "850-476-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JENNIFER",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AL",
            "license": "1136A",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY 2010",
            "primary": false
        }
    ],
    "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 Feb 8, 2016; 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.