Active NPI
Jennifer Stockwell, AUD
- Audiologist
- San Diego, CA
National Provider Identifier
1649672817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- RPE9009
- Practice address
- 3665 Kearny Villa Rd
Suite 400
San Diego, CA 92123-1953 - Phone
- (858) 576-1700
- Fax
- (858) 966-7803
- NPI assigned
- Sep 19, 2014
- Sex
- Female
- 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 | RPE9009 | CA | Primary |
Addresses
Primary practice location
3665 Kearny Villa Rd
Suite 400
San Diego, CA 92123-1953
Mailing address
3020 Children'S Way
MC 5010
San Diego, CA 92123
Phone (858) 576-1700
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPE9009 | CA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411084800000",
"number": "1649672817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 CHILDREN'S WAY",
"address_2": "MC 5010",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92123",
"telephone_number": "858-576-1700",
"fax_number": "858-966-7803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3665 KEARNY VILLA RD",
"address_2": "SUITE 400",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231953",
"telephone_number": "858-576-1700",
"fax_number": "858-966-7803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKWELL",
"first_name": "JENNIFER",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-19",
"last_updated": "2014-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "RPE9009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.