Active NPI
Jennifer Taylor-Guy, AUD., CCC-A
- Audiologist
- Mobile, AL
National Provider Identifier
1679568208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 844-A
- Practice address
- 3701 Dauphin St
Mobile, AL 36608-1756 - Phone
- (251) 341-3368
- Fax
- (251) 341-3371
- NPI assigned
- Sep 20, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 844-A | AL | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 844-A | AL |
Addresses
Primary practice location
3701 Dauphin St
Mobile, AL 36608-1756
Mailing address
2880 Dauphin St
Mobile, AL 36606-2457
Phone (251) 341-3368
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51501321 | Other | AL | BLUE CROSS PROVIDER # |
| 640004069 | Other | AL | RAILROAD MEDICARE PROV. # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101007000916 | AL | Practitioner - Qualified Audiologist | 5597957696 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 844-A | AL | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gadsden Hearing Aid, Inc. | Current | Accepting new patients |
Locations
110 Riley St
Gadsden, AL 35901
Phone (256) 547-2373
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": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322697600000",
"number": "1679568208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2880 DAUPHIN ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366062457",
"telephone_number": "251-341-3368",
"fax_number": "251-341-3371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 DAUPHIN ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366081756",
"telephone_number": "251-341-3368",
"fax_number": "251-341-3371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR-GUY",
"first_name": "JENNIFER",
"credential": "AUD., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2011-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AL",
"license": "844-A",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "AL",
"license": "844-A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER #",
"identifier": "51501321",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PROV. #",
"identifier": "640004069",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.