Individual provider Active NPI

Kevin Pinkerton, HAS, M.ED

  • Hearing Instrument Specialist
  • Jacksonville, FL
National Provider Identifier
1609339696
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS5356 Issued in FL
Practice address
11363 San Jose Blvd Ste 104
Jacksonville, FL 32223-7958
Phone
(904) 329-1255
NPI assigned
Apr 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X AS5356 FL Primary

Addresses

Primary practice location

11363 San Jose Blvd Ste 104
Jacksonville, FL 32223-7958

Mailing address

11363 San Jose Blvd Ste 104
Jacksonville, FL 32223-7958
Phone (904) 329-1255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
AS5356FLMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mefl, LLC Hearing Instrument Specialist Past Accepting new patients
Mefl, LLC Hearing Instrument Specialist Past Accepting new patients

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": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1609339696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11363 SAN JOSE BLVD STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237958",
            "telephone_number": "904-329-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11363 SAN JOSE BLVD STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237958",
            "telephone_number": "904-329-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKERTON",
        "first_name": "KEVIN",
        "credential": "HAS, M.ED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS5356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.