NPIMap

Organization Active NPI

Lifeline Audiology & Hearing Solutions, LLC

  • Audiologist
  • Jacksonville, FL
National Provider Identifier
1437826724
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
LIFELINE AUDIOLOGY & HEARING SOLUTIONS, LLC
Practice address
8553 Argyle Business Loop Ste D
Jacksonville, FL 32244-6669
Phone
(904) 479-5198
Fax
(904) 417-7012
NPI assigned
Aug 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Authorized official

Name
Dr. Judenie Agathe Raphael, AU.D
Title
Doctor of Audiology
Phone
(407) 668-9253

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X Primary
Hearing and Speech Clinic/Center 261QH0700X
Hearing Aid Equipment 332S00000X

Addresses

Primary practice location

8553 Argyle Business Loop Ste D
Jacksonville, FL 32244-6669

Mailing address

8553 Argyle Business Loop Ste D
Jacksonville, FL 32244-6669
Phone (904) 479-5198

National Provider Directory

National Provider Directory

Locations

8553 Argyle Business Loop
Ste D
Jacksonville, FL 32244
Phone (904) 479-5198

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1437826724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8553 ARGYLE BUSINESS LOOP STE D",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446669",
            "telephone_number": "904-479-5198",
            "fax_number": "904-417-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8553 ARGYLE BUSINESS LOOP STE D",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446669",
            "telephone_number": "904-479-5198",
            "fax_number": "904-417-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE AUDIOLOGY & HEARING SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "RAPHAEL",
        "authorized_official_first_name": "JUDENIE",
        "authorized_official_middle_name": "AGATHE",
        "authorized_official_title_or_position": "DOCTOR OF AUDIOLOGY",
        "authorized_official_telephone_number": "407-668-9253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.