Individual provider Active NPI

Andrea Jones, AUDIOLOGIST

  • Audiologist
  • Benson, NC
National Provider Identifier
1629437470
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2154 Issued in NC
Practice address
830 B H Parrish Rd
Benson, NC 27504-7748
Phone
(919) 868-1078
NPI assigned
Feb 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2154 NC Primary
Audiologist-Hearing Aid Fitter 237600000X 605 NC

Addresses

Primary practice location

830 B H Parrish Rd
Benson, NC 27504-7748

Mailing address

830 B H Parrish Rd
Benson, NC 27504-7748
Phone (919) 868-1078

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160718000550 NC Practitioner - Qualified Audiologist 4587956255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Brody School of Medicine at East Carolina University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinston Head and Neck Physicians and Surgeons PAGroup PAC ID 2567541345, 8 clinicians

Practice addresses (Care Compare)

701 Doctors Dr
Suite K
Kinston, NC 28501-1584
Phone (252) 523-0687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2154NCMDProfessional Counselor
605NCMDAudiologist-Hearing Aid Fitter

Interoperability endpoints

  • Direct secure messaging: andreajones@khnp.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1629437470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 B H PARRISH RD",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275047748",
            "telephone_number": "919-868-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 B H PARRISH RD",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275047748",
            "telephone_number": "919-868-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ANDREA",
        "credential": "AUDIOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "2154",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NC",
            "license": "605",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.