Lifesounds Hearing AIDS

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

ME62420 Issued in FL

Legal business name

LIFESOUNDS HEARING AIDS

Practice address

559 W Twincourt TRL
Suite 604
St Augustine, FL 32095-8805

Phone

(904) 940-1211

Fax

(904) 940-4532

NPI assigned

Apr 2, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Jodi S Green, MA, CCC-A

Title

Office Manager

Phone

(904) 446-9191

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1770978140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 W TWINCOURT TRL",
            "address_2": "SUITE 604",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958805",
            "telephone_number": "904-940-1211",
            "fax_number": "904-940-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 W TWINCOURT TRL",
            "address_2": "SUITE 604",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958805",
            "telephone_number": "904-940-1211",
            "fax_number": "904-940-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESOUNDS HEARING AIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "904-446-9191",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC-A"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME62420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.