Active NPI
Jennifer Ruth King, AU.D.
- Audiologist
- Athens, TN
National Provider Identifier
1770762569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1202
- Practice address
- 311 Congress Pkwy N Ste 200
Athens, TN 37303-1694 - Phone
- (423) 745-6222
- Fax
- (866) 419-1447
- NPI assigned
- Oct 29, 2007
- 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 | 231H00000X | 1202 | TN | Primary |
Addresses
Primary practice location
311 Congress Pkwy N Ste 200
Athens, TN 37303-1694
Mailing address
311 Congress Pkwy N Ste 200
Athens, TN 37303-1694
Phone (423) 745-6222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4033915 | Other | TN | BLUE CROSS BLUE SHIELD TN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1202 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northland Hearing Centers, 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.
-
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- NPI 1184677791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546905600000",
"number": "1770762569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 CONGRESS PKWY N STE 200",
"city": "ATHENS",
"state": "TN",
"postal_code": "373031694",
"telephone_number": "423-745-6222",
"fax_number": "866-419-1447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 CONGRESS PKWY N STE 200",
"city": "ATHENS",
"state": "TN",
"postal_code": "373031694",
"telephone_number": "423-745-6222",
"fax_number": "866-419-1447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JENNIFER",
"middle_name": "RUTH",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-29",
"last_updated": "2019-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TN",
"license": "1202",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TN",
"identifier": "4033915",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Athens, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.