Individual provider Active NPI

Jeanette Miller, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Lexington, KY
National Provider Identifier
1356467062
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Practice address
350 Henry Clay Blvd.
Lexington, KY 40502
Phone
(859) 268-4545
Fax
(859) 269-1857
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X
Audiologist-Hearing Aid Fitter 237600000X Primary

Addresses

Primary practice location

350 Henry Clay Blvd.
Lexington, KY 40502

Mailing address

350 Henry Clay Blvd.
Lexington, KY 40502
Phone (859) 268-4545

Other identifiers 3

IdentifierTypeStateIssuer
7000118500MedicaidKY
50000512MedicaidKY
50900059MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131217000709 KY Practitioner - Qualified Audiologist 8224265301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
At Still University, Arizona School of Dentistry & Oral HLTH, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

350 Henry Clay Blvd
Lexington, KY 40502-1024
Phone (859) 268-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0749KYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Hearing and Speech Center Inc. CurrentSince Dec 1, 2013 Accepting new patients
Lexington Hearing and Speech Center Inc. Audiologist CurrentSince Dec 1, 2013 Accepting new patients

Locations

350 Henry Clay Blvd
Lexington, KY 40502
Phone (859) 268-4545

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, 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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1356467062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 HENRY CLAY BLVD.",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40502",
            "telephone_number": "859-268-4545",
            "fax_number": "859-269-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HENRY CLAY BLVD.",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40502",
            "telephone_number": "859-268-4545",
            "fax_number": "859-269-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JEANETTE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000118500",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50000512",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50900059",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.