Individual provider Active NPI

Jessica Gray

  • Hearing Instrument Specialist
  • Florence, SC
National Provider Identifier
1396307674
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HTP1068 Issued in SC
Practice address
1001 W Evans St Ste 102
Florence, SC 29501-3388
Phone
(843) 253-0435
NPI assigned
Jul 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HTP1068 SC Primary

Addresses

Primary practice location

1001 W Evans St Ste 102
Florence, SC 29501-3388

Mailing address

1001 W Evans St Ste 102
Florence, SC 29501-3388
Phone (843) 253-0435

Other identifiers 1

IdentifierTypeStateIssuer
HTP1068OtherSCSCDHEC

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL steelehearing.com Direct Steele Hearing
CONNECT URL Florence Direct

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

LicenseStateTypeSpecialty
HTP1068SCMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1396307674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W EVANS ST STE 102",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013388",
            "telephone_number": "843-253-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W EVANS ST STE 102",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013388",
            "telephone_number": "843-253-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "SC",
            "license": "HTP1068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCDHEC",
            "identifier": "HTP1068",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "steelehearing.com",
            "affiliation": "Y",
            "affiliationName": "Steele Hearing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1001 W Evans St Ste 102",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295013388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Florence",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1001 W Evans St Ste 102",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295013388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.