Individual provider Active NPI

Jamie Suzanne Massey, AUD, CCC-A

  • Audiologist
  • San Antonio, TX
National Provider Identifier
1518018035
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
51677 Issued in TX
Practice address
7103 San Pedro Ave
Suite a
San Antonio, TX 78216-6219
Phone
(210) 348-5556
Fax
(210) 348-5449
NPI assigned
Jan 12, 2007
Last updated
Dec 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 51677 TX Primary
Audiologist-Hearing Aid Fitter 237600000X

Addresses

Primary practice location

7103 San Pedro Ave
Suite a
San Antonio, TX 78216-6219

Mailing address

750 N Commons Dr Ste 200
Aurora, IL 60504-7940
Phone (630) 303-5380

Other practice location 1

3023 Thousand Oaks Dr Ste 105
San Antonio, TX 78247-3557
Phone (210) 494-2525

Other names 1

  • Jamie Suzanne Daugherty Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110621000412 TX Practitioner - Qualified Audiologist 9234317306 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
51677TXMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jack Jones Hearing Centers, Inc. Audiologist CurrentSince May 4, 2011 Accepting new patients

Locations

750 N Commons Dr
Ste 200
Aurora, IL 60504

215 Shuman Blvd
Ste 401
Naperville, IL 60563
Phone (615) 372-8071

3201 Bee Caves Rd
Ste 146
Austin, TX 78746
Phone (512) 327-8845

2409 W Stan Schlueter Loop
Ste 200
Killeen, TX 76549
Phone (254) 680-4327

3937 Boat Club Rd
Lake Worth, TX 76135
Phone (817) 238-9737

3220 Gus Thomasson Rd
Ste 356
Mesquite, TX 75150
Phone (972) 613-4182

3023 Thousand Oaks Dr
Ste 105
San Antonio, TX 78247
Phone (210) 494-2525

7103 San Pedro Ave
#A
San Antonio, TX 78216
Phone (210) 348-5556

7103 San Pedro Ave
Ste A
San Antonio, TX 78216
Phone (210) 348-5556

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1518018035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N COMMONS DR STE 200",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047940",
            "telephone_number": "630-303-5380",
            "fax_number": "630-303-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7103 SAN PEDRO AVE",
            "address_2": "SUITE A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166219",
            "telephone_number": "210-348-5556",
            "fax_number": "210-348-5449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3023 Thousand Oaks Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782473557",
            "country_code": "US",
            "telephone_number": "210-494-2525",
            "fax_number": "210-494-2525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "JAMIE",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51677",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "DAUGHERTY",
            "middle_name": "SUZANNE",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.