Individual provider Active NPI

Jennifer Van Dorn Littlejohn, AU.D.

  • Audiologist
  • Lighthouse Point, FL
National Provider Identifier
1457807992
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2067 Issued in FL
Practice address
3170 N Federal Hwy
Ste 115
Lighthouse Point, FL 33064-6700
Phone
(954) 943-9020
NPI assigned
Aug 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY2067 FL Primary

Addresses

Primary practice location

3170 N Federal Hwy
Ste 115
Lighthouse Point, FL 33064-6700

Mailing address

3170 N Federal Hwy
Ste 115
Lighthouse Point, FL 33064-6700

Other names 1

  • Jennifer Van Dorn Littlejohn Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170712003540 FL Practitioner - Qualified Audiologist 8628347242 Reassigns benefits to 1 organization
I20230803003555 WV Practitioner - Qualified Audiologist 8628347242 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY2067FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Distribution, LLC CurrentSince Apr 24, 2023 Accepting new patients
Hearusa Inc Past Accepting new patients

Locations

1001 SW 2nd Ave
Ste 8000
Boca Raton, FL 33432
Phone (561) 393-6161

396 N Congress Ave
Boynton Beach, FL 33426
Phone (561) 736-8599

3251 Hollywood Blvd
Ste 424
Hollywood, FL 33021
Phone (954) 963-6305

1858 N Nob Hill Rd
Plantation, FL 33322
Phone (954) 423-8828

3170 N Federal Hwy
Ste 115
Pompano Beach, FL 33064
Phone (954) 866-5192

11304 State Road 54
Trinity, FL 34655
Phone (727) 247-1234

1307 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 810-0812

48 Washington Ave
Wheeling, WV 26003
Phone (304) 905-9316

Organizations & group practices 2

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": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1457807992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 N FEDERAL HWY",
            "address_2": "STE 115",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 N FEDERAL HWY",
            "address_2": "STE 115",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646700",
            "telephone_number": "954-943-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLEJOHN",
        "first_name": "JENNIFER",
        "middle_name": "VAN DORN",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2023-04-10",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LITTLEJOHN",
            "middle_name": "VAN DORN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lighthouse Point, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.