Dr. Rosann W. Faull LLC

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

AY 496 Issued in FL

Legal business name

DR. ROSANN W. FAULL LLC

Practice address

12276 San Jose Blvd
Suite 710
Jacksonville, FL 32223-8628

Phone

(904) 262-5550

Fax

(904) 683-4592

NPI assigned

Jan 7, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rosann W Faull, AU.D.

Title

Audiologist/President

Phone

(904) 262-5550

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1386974707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12276 SAN JOSE BLVD",
            "address_2": "SUITE 710",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238628",
            "telephone_number": "904-262-5550",
            "fax_number": "904-683-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12276 SAN JOSE BLVD",
            "address_2": "SUITE 710",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238628",
            "telephone_number": "904-262-5550",
            "fax_number": "904-683-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROSANN W. FAULL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "FAULL",
        "authorized_official_first_name": "ROSANN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "AUDIOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "904-262-5550",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "FL",
            "license": "AY 496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "J000A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.