Active NPI
Jacquelyn Davis Niedringhaus, AU.D.
- Audiologist
- Rock Hill, SC
National Provider Identifier
1376500561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 457
- Practice address
- 1169 Ebenezer Rd
Rock Hill, SC 29732-2364 - Phone
- (803) 327-1900
- Fax
- (803) 327-4146
- NPI assigned
- May 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 457 | SC | Primary |
Addresses
Primary practice location
1169 Ebenezer Rd
Rock Hill, SC 29732-2364
Mailing address
1364 Ebenezer Rd
Rock Hill, SC 29732-2337
Phone (803) 327-1900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA0017 | Medicaid | SC | |
| GP1087 | Medicaid | SC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 457 | SC | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Center, Inc. | 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 and National Provider Directory roles.
-
- Hearing and Speech Clinic/Center
- Rock Hill, SC
- NPI 1669663613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474934400000",
"number": "1376500561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1364 EBENEZER RD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297322337",
"telephone_number": "803-327-1900",
"fax_number": "803-327-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1169 EBENEZER RD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297322364",
"telephone_number": "803-327-1900",
"fax_number": "803-327-4146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEDRINGHAUS",
"first_name": "JACQUELYN",
"middle_name": "DAVIS",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-01",
"last_updated": "2016-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "SC",
"license": "457",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SA0017",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP1087",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.