Individual provider Active NPI

Jordan Paige Parker, AUD

  • Audiologist
  • Springfield, OH
National Provider Identifier
1629596507
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A.02109 Issued in OH
Practice address
1970 N Bechtle Ave
Springfield, OH 45504-1582
Phone
(937) 772-4059
Fax
(937) 772-4142
NPI assigned
Aug 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A.02109 OH Primary
Audiologist-Hearing Aid Fitter 237600000X A.02109 OH

Addresses

Primary practice location

1970 N Bechtle Ave
Springfield, OH 45504-1582

Mailing address

250 Kent Dr
Bellefontaine, OH 43311-9043
Phone (937) 595-0366

Other practice location 1

848 Scioto St Ste 6
Urbana, OH 43078-2255
Phone (937) 772-4059

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170914004260 OH Practitioner - Qualified Audiologist 4789958760 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A.02109OHMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Medical Group, LLC CurrentSince Oct 14, 2023 Accepting new patients
Maze Hearing & Balance, LLC CurrentSince Feb 13, 2024 Accepting new patients
Black'S Hearing Aid Services, Inc. Audiologist PastSince Feb 11, 2024 Accepting new patients

Locations

250 Kent Dr
Bellefontaine, OH 43311
Phone (937) 592-1001

7790 Dayton Springfield Rd
Ste B
Fairborn, OH 45324
Phone (937) 340-6440

1051 Lydia Dr
Ste 300
Marysville, OH 43040
Phone (937) 578-2207

435 S Burnett Rd
Springfield, OH 45505
Phone (513) 325-8796

1970 N Bechtle Ave
Springfield, OH 45504
Phone (937) 505-3484

848 Scioto St
Ste 6
Urbana, OH 43078
Phone (937) 578-4200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1629596507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 KENT DR",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433119043",
            "telephone_number": "937-595-0366",
            "fax_number": "937-592-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 N BECHTLE AVE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041582",
            "telephone_number": "937-772-4059",
            "fax_number": "937-772-4142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "848 Scioto St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "OH",
            "postal_code": "430782255",
            "country_code": "US",
            "telephone_number": "937-772-4059",
            "fax_number": "937-772-4142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JORDAN",
        "middle_name": "PAIGE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2024-02-08",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A.02109",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OH",
            "license": "A.02109",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.