Active NPI
Michael Lee Caudill, BC-HIS;HAS;ACA
- Hearing Instrument Specialist
- Jacksonville Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- AS3317
- Practice address
- 1470 3Rd St S
Jacksonville Beach, FL 32250-6310 - Phone
- (904) 246-1660
- Fax
- (503) 659-5968
- NPI assigned
- Mar 25, 2009
- Last updated
- Apr 11, 2019
- Sex
- Male
- 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-Hearing Aid Fitter | 237600000X | FL | ||
| Hearing Instrument Specialist | 237700000X | AS3317 | FL | Primary |
Addresses
Primary practice location
1470 3Rd St S
Jacksonville Beach, FL 32250-6310
Mailing address
6700 Washington Ave S
Eden Prairie, MN 55344-3405
Phone (612) 351-1529
Other practice location 1
780 Waukegan Rd
Palatka, FL 32177-3946
Phone (386) 575-8520
Other practice location 2
1699 S 14th St Ste 15
Fernandina Beach, FL 32034-1965
Phone (904) 277-3265
Other practice location 3
719 S State Road 19
Palatka, FL 32177-3946
Phone (386) 575-8520
Other practice location 4
205 Zeagler Dr Ste 203
Palatka, FL 32177-3860
Phone (386) 325-2233
Other practice location 5
2085 A1A S Ste 202
St Augustine, FL 32080-6520
Phone (904) 461-5039
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AS3317 | FL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba All American Hearing
- Hearing and Speech Clinic/Center
- Sparta, IL
- NPI 1184677791
Audiologist-Hearing Aid Fitter
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554940800000",
"number": "1346482122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 WASHINGTON AVE S",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443405",
"telephone_number": "612-351-1529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1470 3RD ST S",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322506310",
"telephone_number": "904-246-1660",
"fax_number": "503-659-5968"
}
],
"practiceLocations": [
{
"address_1": "780 Waukegan Rd",
"address_purpose": "LOCATION",
"city": "Palatka",
"state": "FL",
"postal_code": "321773946",
"country_code": "US",
"telephone_number": "386-575-8520",
"fax_number": "407-845-9351",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1699 S 14th St Ste 15",
"address_purpose": "LOCATION",
"city": "Fernandina Beach",
"state": "FL",
"postal_code": "320341965",
"country_code": "US",
"telephone_number": "904-277-3265",
"fax_number": "503-659-5968",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "719 S State Road 19",
"address_purpose": "LOCATION",
"city": "Palatka",
"state": "FL",
"postal_code": "321773946",
"country_code": "US",
"telephone_number": "386-575-8520",
"fax_number": "407-845-9351",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "205 Zeagler Dr Ste 203",
"address_purpose": "LOCATION",
"city": "Palatka",
"state": "FL",
"postal_code": "321773860",
"country_code": "US",
"telephone_number": "386-325-2233",
"fax_number": "386-325-7189",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2085 A1A S Ste 202",
"address_purpose": "LOCATION",
"city": "St Augustine",
"state": "FL",
"postal_code": "320806520",
"country_code": "US",
"telephone_number": "904-461-5039",
"fax_number": "503-659-5968",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAUDILL",
"first_name": "MICHAEL",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "BC-HIS;HAS;ACA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-25",
"last_updated": "2019-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "FL",
"license": "AS3317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.