Jennifer Leigh Crider, AU.D.

Key facts

NPI

1447574728

Entity type

Individual (NPI type 1)

Primary specialty

Audiologist 231H00000X

License

1278 (TN)

Practice address

3964 Goodman Rd E Ste 130
Southaven, MS 38672-8762

Phone

(662) 205-0615

NPI assigned

Mar 16, 2010

Sex

Female

Sole proprietor

No

Organizations & group practices 4

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.

• Magnolia Hearing, LLC Audiologist · Southaven, MS · NPI 1609699727
  Medicare reassignment NPD Authorized official AUDIOLOGIST · MS
• Desoto Ear, Nose &Throat Otolaryngology Physician · Olive Branch, MS · NPI 1477644045
  Medicare reassignment NPD MS
• The University of Memphis Speech-Language Pathologist · Memphis, TN · NPI 1609961655
  NPD (past) AUDIOLOGIST
• The University of Memphis Nurse Practitioner · Memphis, TN · NPI 1891515995
  NPD (past)

Medicare Care Compare profile

Specialty

Qualified Audiologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MS

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

No

HHS exclusion list flag

The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifercrider@desoto-ent.directglo.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 7, 2025.

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1447574728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3964 GOODMAN RD E STE 130",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386728762",
            "telephone_number": "662-205-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3964 GOODMAN RD E STE 130",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386728762",
            "telephone_number": "662-205-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIDER",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-16",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "1278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

• Matthew Thomas Craighead, PT, DPT
• Daniel Eric Crane, OTR/L
• Chase Craven, MD
• Donna Sheree Crawford, PHARMD
• Martha Kristen Creel, RN
• Carley Crosby, PA-C
• Adam Carson Cummins, MD
• Cunningham Physical Medicine
• Jeff Jordan Cunningham, M.D.
• Mark L Cunningham, MD

All providers in Southaven, MS · Audiologist in Mississippi