Active NPI
Jennifer L Clarke, AU.D CCC-A
- Audiologist
- Nashville, TN
National Provider Identifier
1386908150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1659
- Practice address
- 4230 Harding Pike
Ste 400
Nashville, TN 37205-2013 - Phone
- (615) 297-2700
- Fax
- (615) 386-2399
- NPI assigned
- Jun 27, 2012
- 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 | 1659 | TN | Primary |
Addresses
Primary practice location
4230 Harding Pike
Ste 400
Nashville, TN 37205-2013
Mailing address
104 Woodmont Blvd
LL50
Nashville, TN 37205-2245
Phone (615) 386-2398
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1532846 | Medicaid | TN | |
| 4360888 | Other | TN | BLUECROSS BLUESHIELD TN |
Other names 1
- Jennifer L Pacchiana
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 |
|---|---|---|---|
| 1659 | TN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Thomas Medical Group PLLC | Audiologist | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CBFIAA
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431388800000",
"number": "1386908150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 WOODMONT BLVD",
"address_2": "LL50",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372052245",
"telephone_number": "615-386-2398",
"fax_number": "615-386-2399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4230 HARDING PIKE",
"address_2": "STE 400",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372052013",
"telephone_number": "615-297-2700",
"fax_number": "615-386-2399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "AU.D CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-27",
"last_updated": "2015-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TN",
"license": "1659",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1532846",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD TN",
"identifier": "4360888",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "PACCHIANA",
"middle_name": "L",
"credential": "AUD CCC-A",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.