Active NPI
Jenny Lynn Kingsbury, AU.D.
- Audiologist
- Clarksville, TN
National Provider Identifier
1376699231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A0000001467
- Practice address
- 1740 Memorial Dr
Clarksville, TN 37043-4561 - Phone
- (931) 645-3937
- NPI assigned
- Jan 25, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A0000001467 | TN | Primary |
Addresses
Primary practice location
1740 Memorial Dr
Clarksville, TN 37043-4561
Mailing address
785 Leigh Ann Dr
Clarksville, TN 37042-3789
Phone (931) 906-0723
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A0000001467 | TN | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Audiology, PC | Audiologist | 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
- Clarksville, TN
- NPI 1790983104
Audiologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376699231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 LEIGH ANN DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370423789",
"telephone_number": "931-906-0723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 MEMORIAL DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370434561",
"telephone_number": "931-645-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINGSBURY",
"first_name": "JENNY",
"middle_name": "LYNN",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TN",
"license": "A0000001467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.