Active NPI
Jared T Anderson, AU.D.
- Audiologist
- Paducah, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 4570 Pecan Dr Ste a
Paducah, KY 42001-6717 - Phone
- (270) 554-6000
- Fax
- (270) 554-6995
- NPI assigned
- May 25, 2018
- Last updated
- May 25, 2018
- Sex
- Male
- 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 | KY | Primary |
Addresses
Primary practice location
4570 Pecan Dr Ste a
Paducah, KY 42001-6717
Mailing address
4570 Pecan Dr Ste a
Paducah, KY 42001-6717
Phone (270) 554-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4570 Pecan Dr
Suite a
Paducah, KY 42001-6717
Phone (270) 554-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milliano Audiology LLC | Current | Accepting new patients |
Locations
1713 State Route 121 N
Murray, KY 42071
Phone (270) 759-7000
4570 Pecan Dr
Ste A
Paducah, KY 42001
Phone (270) 554-6000
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.
-
dba Audiology & Hearing Center
- Audiologist-Hearing Aid Fitter
- Paducah, KY
- NPI 1497799001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527206400000",
"number": "1609367655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4570 PECAN DR STE A",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420016717",
"telephone_number": "270-554-6000",
"fax_number": "270-554-6995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4570 PECAN DR STE A",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420016717",
"telephone_number": "270-554-6000",
"fax_number": "270-554-6995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JARED",
"middle_name": "T",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-25",
"last_updated": "2018-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.