Individual provider Active NPI

Taylor Kieffer, AUD

  • Audiologist
  • St Augustine, FL
National Provider Identifier
1568025393
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
1835 US Highway 1 S Ste 121
St Augustine, FL 32084-4276
Phone
(904) 824-6007
NPI assigned
Apr 17, 2019
Last updated
Apr 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Specialties & licenses 2

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

Addresses

Primary practice location

1835 US Highway 1 S Ste 121
St Augustine, FL 32084-4276

Mailing address

1835 US Highway 1 S Ste 121
St Augustine, FL 32084-4276
Phone (904) 824-6007

Other practice location 1

50 Cypress Point Pkwy Ste B3
Palm Coast, FL 32164-2501
Phone (386) 447-7364

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190627000615 FL Practitioner - Qualified Audiologist 8527392356 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC Audiologist CurrentSince Oct 26, 2021 Accepting new patients
Audiology Services Company USA, LLC CurrentSince Oct 26, 2021 Accepting new patients
A1A Family Eyecare PastSince Jun 7, 2019 Accepting new patients

Locations

13820 Old Saint Augustine Rd
Ste 153
Jacksonville, FL 32258
Phone (904) 900-7564

640 3rd St N
Jacksonville Beach, FL 32250
Phone (904) 372-9171

3754 Highway 90
Ste 350
Pace, FL 32571
Phone (850) 889-4261

3375 Burns Rd
Ste 106
Palm Beach Gardens, FL 33410
Phone (561) 624-7525

5147 N 9th Ave
Ste 315
Pensacola, FL 32504
Phone (850) 473-0112

3819 Murrell Rd
Ste B
Rockledge, FL 32955
Phone (321) 252-1412

1106 W New Haven Ave
West Melbourne, FL 32904
Phone (321) 724-1877

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

Organizations & group practices 3

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": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1568025393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 US HIGHWAY 1 S STE 121",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320844276",
            "telephone_number": "904-824-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 US HIGHWAY 1 S STE 121",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320844276",
            "telephone_number": "904-824-6007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Cypress Point Pkwy Ste B3",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321642501",
            "country_code": "US",
            "telephone_number": "386-447-7364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIEFFER",
        "first_name": "TAYLOR",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.