Active NPI
Kristen Edenfield
- Audiologist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY1940
- Practice address
- 10475 Centurion Pkwy N
#303
Jacksonville, FL 32256-5003 - Phone
- (904) 399-0350
- Fax
- (904) 399-5914
- NPI assigned
- Jun 17, 2015
- 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 | AY1940 | FL | Primary |
Addresses
Primary practice location
10475 Centurion Pkwy N
#303
Jacksonville, FL 32256-5003
Mailing address
11945 San Jose Blvd
#300
Jacksonville, FL 32223-1613
Phone (904) 396-1725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 Inwood Rd
Dallas, TX 75390-7202
Phone (214) 645-2800
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.87 of 100
- Quality
- 70.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AY1940 | FL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Dallas County Hospital District | Current | Accepting new patients | |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Dallas County Hospital District | Current | Accepting new patients | |
| Dallas County Hospital District | Current | Accepting new patients |
Locations
3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591
600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400
1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000
420 E 6th St
Ste 202
Odessa, TX 79761
Phone (214) 648-9618
2001 Inwood Rd
Ut Southwest Medical Center, TX 75390
Phone (214) 645-8000
5303 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Phone (214) 645-2300
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Psychiatry Physician
- Dallas, TX
- NPI 1649278995
-
- Women's Health Nurse Practitioner
- Dallas, TX
- NPI 1558035188
-
- Women's Health Nurse Practitioner
- Dallas, TX
- NPI 1831198506
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Pediatrics Physician
- Southlake, TX
- NPI 1275838732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516060800000",
"number": "1821479650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11945 SAN JOSE BLVD",
"address_2": "#300",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322231613",
"telephone_number": "904-396-1725",
"fax_number": "904-399-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10475 CENTURION PKWY N",
"address_2": "#303",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322565003",
"telephone_number": "904-399-0350",
"fax_number": "904-399-5914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDENFIELD",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-17",
"last_updated": "2018-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY1940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.