Paxton-Ouellette B La Forge, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AY2937 Issued in FL

Practice address

166 A1A N Ste 100
Ponte Vedra Beach, FL 32082-5701

Phone

(904) 501-2280

Fax

(855) 527-7300

NPI assigned

Jun 18, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Coast Mobile Audiology, LLCGroup PAC ID 1456637172, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• First Coast Mobile Audiology, LLC

  • Hearing Aid Equipment
  • St Augustine, FL
  • NPI 1962945550
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1487540019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 A1A N STE 100",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320825701",
            "telephone_number": "904-501-2280",
            "fax_number": "855-527-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 A1A N STE 100",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320825701",
            "telephone_number": "904-501-2280",
            "fax_number": "855-527-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA FORGE",
        "first_name": "PAXTON-OUELLETTE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "FL",
            "license": "AY2937",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Koren
• Melissa Kotziers, PA-C
• Megan Leanne Krantz, PHD
• Macy Kwakenat
• Kyle Clinic
• Lady Spearhead, LLC
• Andrea Lynne Lagnese, D.C.
• Marlene Kay Lamp, M.D.
• Mariah Lane, BCBA
• Meagan Amberle Laurens

• Audiologist in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Audiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.