Individual provider Active NPI

Jami Lynn Leventhal

  • Audiologist
  • Palm Beach Gardens, FL
National Provider Identifier
1679740369
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY911 Issued in FL
Practice address
11380 Prosperity Farms Rd
210 B
Palm Beach Gardens, FL 33410-3474
Phone
(561) 469-9846
Fax
(561) 469-9845
NPI assigned
May 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY911 FL Primary

Addresses

Primary practice location

11380 Prosperity Farms Rd
210 B
Palm Beach Gardens, FL 33410-3474

Mailing address

11380 Prosperity Farms Rd
210 B
Palm Beach Gardens, FL 33410-3474
Phone (561) 469-9846

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY911FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr.Seth Leventhal,LLC CurrentSince Apr 27, 2016 Accepting new patients
Audiology Distribution, LLC Past Accepting new patients
Hearusa Inc Past Accepting new patients

Locations

11380 Prosperity Farms Rd
Ste 210B
Palm Beach Gardens, FL 33410
Phone (561) 469-9846

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": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1679740369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11380 PROSPERITY FARMS RD",
            "address_2": "210 B",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103474",
            "telephone_number": "561-469-9846",
            "fax_number": "561-469-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11380 PROSPERITY FARMS RD",
            "address_2": "210 B",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103474",
            "telephone_number": "561-469-9846",
            "fax_number": "561-469-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENTHAL",
        "first_name": "JAMI",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.