Active NPI
Jessica M Pruett, AUD
- Audiologist
- Mobile, AL
National Provider Identifier
1689232563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1225A
- Practice address
- 3701 Dauphin St
Mobile, AL 36608-1756 - Phone
- (251) 341-3368
- Fax
- (251) 341-3218
- NPI assigned
- Jun 5, 2019
- Last updated
- Feb 7, 2020
- 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 | 1225A | AL | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 1225A | AL |
Addresses
Primary practice location
3701 Dauphin St
Mobile, AL 36608-1756
Mailing address
1851 N McKenzie St
Ste 106
Foley, AL 36535-4704
Phone (251) 341-3368
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
Interoperability endpoints
- jessicapruett@entce.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581033600000",
"number": "1689232563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1851 N MCKENZIE ST",
"address_2": "STE 106",
"city": "FOLEY",
"state": "AL",
"postal_code": "365354704",
"telephone_number": "251-341-3368",
"fax_number": "251-341-3218"
},
{
"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": "251-341-3218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUETT",
"first_name": "JESSICA",
"middle_name": "M",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-05",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AL",
"license": "1225A",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "AL",
"license": "1225A",
"primary": false
}
],
"identifiers": [],
"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 Feb 7, 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.