Individual provider Active NPI

Jennifer L Auer, AUD, CCC-A

  • Audiologist-Hearing Aid Fitter
  • Concord, NC
National Provider Identifier
1447221296
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
001912-1 Issued in NY
Practice address
3605 Centergrove Rd
Concord, NC 28025-1515
Phone
(704) 938-4300
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 001912-1 NY Primary

Addresses

Primary practice location

3605 Centergrove Rd
Concord, NC 28025-1515

Mailing address

3605 Centergrove Rd
Concord, NC 28025-1515
Phone (704) 938-4300

Other practice location 1

114 Raynor Rd
Ridge, NY 11961-1900
Phone (631) 205-9059

Other identifiers 1

IdentifierTypeStateIssuer
610644100OtherNYDEPT OF LABOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190917004120 NC Practitioner - Qualified Audiologist 6406879048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3605 Centergrove Rd
Concord, NC 28025-1515
Phone (704) 938-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001912-1NYMDNutritionist
001912NYMDAcupuncturist
13097NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Attention & Tinnitus Care, PLLC Audiologist-Hearing Aid Fitter CurrentSince May 1, 2019 Accepting new patients

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1447221296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 CENTERGROVE RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251515",
            "telephone_number": "704-938-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 CENTERGROVE RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251515",
            "telephone_number": "704-938-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Raynor Rd",
            "address_purpose": "LOCATION",
            "city": "Ridge",
            "state": "NY",
            "postal_code": "119611900",
            "country_code": "US",
            "telephone_number": "631-205-9059",
            "fax_number": "631-506-8448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUER",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "001912-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "610644100",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.