Individual provider Active NPI

Barbara B. Jaehne, AU.D.

  • Audiologist
  • Venice, FL
National Provider Identifier
1669697496
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY197 Issued in FL
Practice address
105 San Marco Dr
Venice, FL 34285-3230
Phone
(941) 485-4592
Fax
(941) 485-0703
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY197 FL Primary

Addresses

Primary practice location

105 San Marco Dr
Venice, FL 34285-3230

Mailing address

105 San Marco Dr
Venice, FL 34285-3230
Phone (941) 485-4592

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120323000520 FL Practitioner - Qualified Audiologist 5799945010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Medical Gardens Hearing Center, Inc.Group PAC ID 9739341546, 2 clinicians

Practice addresses (Care Compare)

105 San Marco Dr
Venice, FL 34285-3230
Phone (941) 485-4592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Gardens Hearing Center, Inc. Audiologist CurrentSince Feb 27, 2012 Accepting new patients

Locations

370 W Dearborn St
Ste C
Englewood, FL 34223
Phone (941) 474-8733

370 W Dearborn St
Englewood, FL 34223

105 San Marco Dr
Venice, FL 34285
Phone (941) 474-8733

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1669697496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SAN MARCO DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342853230",
            "telephone_number": "941-485-4592",
            "fax_number": "941-485-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SAN MARCO DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342853230",
            "telephone_number": "941-485-4592",
            "fax_number": "941-485-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAEHNE",
        "first_name": "BARBARA",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.