NPIMap

Organization Active NPI

Jacksonville Speech & Hearing Center, Inc.

  • Audiologist
  • Jacksonville, FL
National Provider Identifier
1346351301
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
JACKSONVILLE SPEECH & HEARING CENTER, INC.
Practice address
1010 N Davis St Ste 101
Jacksonville, FL 32209-6808
Phone
(904) 355-3403
Fax
(904) 355-4149
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Catherine Nangle Howland
Title
Director of Operations
Phone
(904) 355-3403

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

1010 N Davis St Ste 101
Jacksonville, FL 32209-6808

Mailing address

1010 N. Davis Street
Suite 101
Jacksonville, FL 32209-6808
Phone (904) 355-3403

Other practice location 1

1128 North Laura Street
Jacksonville, FL 32206-4912
Phone (904) 355-3403 ext. 223

Other identifiers 1

IdentifierTypeStateIssuer
600216100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120229000855 FL Part B Supplier - Clinic/Group Practice 3072771518 Receives reassigned benefits from 1 practitioner
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory
Tax ID family
Speech Hearing Center Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14595 Philips Hwy
Ste 102
Jacksonville, FL 32256

1010 N Davis St
Jacksonville, FL 32209
Phone (904) 355-3403

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1346351301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N. DAVIS STREET",
            "address_2": "SUITE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096808",
            "telephone_number": "904-355-3403",
            "fax_number": "904-355-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N DAVIS ST STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096808",
            "telephone_number": "904-355-3403",
            "fax_number": "904-355-4149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1128 North Laura Street",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322064912",
            "country_code": "US",
            "telephone_number": "904-355-3403 x223",
            "fax_number": "904-355-4149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JACKSONVILLE SPEECH & HEARING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "HOWLAND",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "NANGLE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "904-355-3403"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600216100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.