Active NPI
Jayda Allen, AUD
- Audiologist
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 1430 66TH St N
St Petersburg, FL 33710-5504 - Phone
- (866) 391-2313
- NPI assigned
- May 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
1430 66TH St N
St Petersburg, FL 33710-5504
Mailing address
2040 Lakewood Club Dr S Unit 1H
St Petersburg, FL 33712-6402
Phone (163) 162-7444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NY
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003293 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Distribution, LLC | Current | Accepting new patients |
Locations
1900 Tamiami Trl
Unit 109
Port Charlotte, FL 33948
Phone (941) 743-5211
1430 66th St N
St Petersburg, FL 33710
Phone (727) 343-3019
7232 Austin St
Forest Hills, NY 11375
Phone (718) 577-5121
1776 Broadway
New York, NY 10019
Phone (212) 399-7329
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": "1651449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1487399747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 LAKEWOOD CLUB DR S UNIT 1H",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337126402",
"telephone_number": "163-162-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 66TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337105504",
"telephone_number": "866-391-2313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "JAYDA",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-02",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.