Active NPI
Jennifer P Taylor, AU.D.
- Audiologist
- Memphis, TN
National Provider Identifier
1386883221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A0000001283
- Practice address
- 807 Jefferson Ave
Memphis, TN 38105-5042 - Phone
- (901) 678-5800
- Fax
- (901) 525-1282
- NPI assigned
- Feb 17, 2009
- 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 | A0000001283 | TN | Primary |
Addresses
Primary practice location
807 Jefferson Ave
Memphis, TN 38105-5042
Mailing address
807 Jefferson Ave
Memphis, TN 38105-5042
Phone (901) 678-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- University of Florida College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4055 N Park Loop
Suite 1004
Memphis, TN 38152-4220
Phone (901) 678-2009
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1283 | TN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Tennessee | Current | Accepting new patients | |
| University of Tennessee | Current | Accepting new patients |
Locations
711 Jefferson Ave
Rm 206B
Memphis, TN 38105
Phone (901) 448-6511
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1386883221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 JEFFERSON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381055042",
"telephone_number": "901-678-5800",
"fax_number": "901-525-1282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 JEFFERSON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381055042",
"telephone_number": "901-678-5800",
"fax_number": "901-525-1282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "JENNIFER",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-17",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TN",
"license": "A0000001283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.