Staverman Hearing Centers, LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

STAVERMAN HEARING CENTERS, LLC

Practice address

12276 San Jose Blvd Ste 710
Jacksonville, FL 32223-8674

Phone

(904) 262-5550

NPI assigned

Jan 10, 2018

Organization subpart

No

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

Authorized official

Name

Leslie Staverman, AUDNPI 1043790066

Title

Audiologist / Owner

Phone

(904) 262-5550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie Anne Staverman, AUD

  • Audiologist-Hearing Aid Fitter
  • Jacksonville, FL
  • NPI 1043790066

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1417464538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 LAGUNA VILLA BLVD UNIT A16",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322508007",
            "telephone_number": "904-305-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12276 SAN JOSE BLVD STE 710",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238674",
            "telephone_number": "904-262-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAVERMAN HEARING CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "STAVERMAN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "AUDIOLOGIST / OWNER",
        "authorized_official_telephone_number": "904-262-5550",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leith States, M.D.
• Ana L. Stauch, ARNP
• John Stauffer, MD
• Kelly Stauffer
• Bethany Juliana Stavely, PHARM.D.
• Leslie Anne Staverman, AUD
• Timothy George Stavropulos, M.A., CCC-SLP
• Stay for the Day Adult Day Care
• Nia Ashlee Stclair
• Andrew Steadman

• Audiologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Audiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.