Active NPI
Lorrie Bielen
- Audiologist
- Jacksonville, FL
National Provider Identifier
1376623330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY1362
- Practice address
- 3627 University Blvd S
Suite 210
Jacksonville, FL 32216-4230 - Phone
- (904) 399-5311
- NPI assigned
- Oct 16, 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 | AY1362 | FL | Primary |
Addresses
Primary practice location
3627 University Blvd S
Suite 210
Jacksonville, FL 32216-4230
Mailing address
3627 University Blvd S
Suite 210
Jacksonville, FL 32216-4230
Phone (904) 399-5311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070423000084 | FL | Practitioner - Qualified Audiologist | 9739125543 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000412 | CT | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Distribution, LLC | Past | Accepting new patients | |
| N.F.L. Center for Oto-HNS Facial Plastic Surgery P.a. | Past | Accepting new patients |
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.
-
dba North Florida Center for Otolaryngology
- Otolaryngology/Facial Plastic Surgery Physician
- St Augustine, FL
- NPI 1851325781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254268800000",
"number": "1376623330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3627 UNIVERSITY BLVD S",
"address_2": "SUITE 210",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164230",
"telephone_number": "904-399-5311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3627 UNIVERSITY BLVD S",
"address_2": "SUITE 210",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164230",
"telephone_number": "904-399-5311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIELEN",
"first_name": "LORRIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2009-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY1362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.