Jennifer Lynn Middlebrooks, HID

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

80885 Issued in TX

Practice address

4625 Boat Club Rd Ste 257
Fort Worth, TX 76135-7023

Phone

(817) 346-6464

Fax

(817) 238-0054

NPI assigned

Sep 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1669088985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 BOAT CLUB RD STE 257",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761357023",
            "telephone_number": "817-346-6464",
            "fax_number": "817-238-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 BOAT CLUB RD STE 257",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761357023",
            "telephone_number": "817-346-6464",
            "fax_number": "817-238-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLEBROOKS",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "HID",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "80885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Audiologist-Hearing Aid Fitter in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Audiologist-Hearing Aid Fitter in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.