Active NPI
Jessica Katelyn Woodson
- Audiologist
- Scarsdale, NY
National Provider Identifier
1366950495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 0027381
- Practice address
- 688A White Plains Rd
Scarsdale, NY 10583-5008 - Phone
- (914) 472-4444
- Fax
- (914) 472-4444
- NPI assigned
- Jan 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 0027381 | NY | Primary |
Addresses
Primary practice location
688A White Plains Rd
Scarsdale, NY 10583-5008
Mailing address
688A White Plains Rd
Scarsdale, NY 10583-5008
Phone (646) 589-0342
Other practice location 1
1036 Park Ave Ste 1B
New York, NY 10028-0971
Phone (212) 879-3836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1036 Park Ave
1B
New York, NY 10028-0971
Phone (212) 879-3836
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0027381 | NY | MD | Audiologist |
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 and National Provider Directory roles.
-
- Audiologist-Hearing Aid Fitter
- Scarsdale, NY
- NPI 1245243443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1366950495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "688A WHITE PLAINS RD",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105835008",
"telephone_number": "646-589-0342",
"fax_number": "917-893-6487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "688A WHITE PLAINS RD",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105835008",
"telephone_number": "914-472-4444",
"fax_number": "914-472-4444"
}
],
"practiceLocations": [
{
"address_1": "1036 Park Ave Ste 1B",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100280971",
"country_code": "US",
"telephone_number": "212-879-3836",
"fax_number": "917-893-6487",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOODSON",
"first_name": "JESSICA",
"middle_name": "KATELYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-10",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "0027381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scarsdale, NY
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.
- 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.