Active NPI
Jeanette Miller, AU.D.
- Audiologist-Hearing Aid Fitter
- Lexington, KY
National Provider Identifier
1356467062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- 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
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 | |||
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7000118500 | Medicaid | KY | |
| 50000512 | Medicaid | KY | |
| 50900059 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0749 | KY | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Hearing and Speech Center Inc. | Current | Accepting new patients | |
| Lexington Hearing and Speech Center Inc. | Audiologist | Current | 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.
-
- Audiologist
- Lexington, KY
- NPI 1265560973
-
dba The Hearing & Speech Center
- Speech-Language Pathologist
- Lexington, KY
- NPI 1164154662
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.