Active NPI
Linda Jimerson Connick, HAS
- Audiologist-Hearing Aid Fitter
- Mobile, AL
National Provider Identifier
1689954976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 4136
- Practice address
- 798 Downtowner Blvd
Ste a
Mobile, AL 36609-5424 - Phone
- (251) 316-0960
- Fax
- (251) 316-0970
- NPI assigned
- Aug 18, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 4136 | AL | Primary |
Addresses
Primary practice location
798 Downtowner Blvd
Ste a
Mobile, AL 36609-5424
Mailing address
662 Harbor Blvd
Ste 140
Destin, FL 32541-2473
Phone (850) 243-3196
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4136 | AL | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Centers of the Panhandle, Inc. | Past | Accepting new patients |
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.
-
- Hearing Instrument Specialist
- Mobile, AL
- NPI 1629212832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361836800000",
"number": "1689954976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "662 HARBOR BLVD",
"address_2": "STE 140",
"city": "DESTIN",
"state": "FL",
"postal_code": "325412473",
"telephone_number": "850-243-3196",
"fax_number": "850-243-8294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "798 DOWNTOWNER BLVD",
"address_2": "STE A",
"city": "MOBILE",
"state": "AL",
"postal_code": "366095424",
"telephone_number": "251-316-0960",
"fax_number": "251-316-0970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNICK",
"first_name": "LINDA",
"middle_name": "JIMERSON",
"name_prefix": "Mrs.",
"credential": "HAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-18",
"last_updated": "2013-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "AL",
"license": "4136",
"primary": true
}
],
"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 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.