Individual provider Active NPI

Jessica J Stoveken, HAS

  • Hearing Instrument Specialist
  • Hallandale Beach, FL
National Provider Identifier
1841621802
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS 4985 Issued in FL
Practice address
2100 E Hallandale Beach Blvd Ste 101
Hallandale Beach, FL 33009-3722
Phone
(954) 458-1717
NPI assigned
Dec 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X AS 4985 FL Primary

Addresses

Primary practice location

2100 E Hallandale Beach Blvd Ste 101
Hallandale Beach, FL 33009-3722

Mailing address

8800 SE Sunnyside Rd Ste 300N
Clackamas, OR 97015-5703
Phone (281) 286-2999

Other practice location 1

10071 Pines Blvd Ste C
Pembroke Pines, FL 33024-6183
Phone (954) 438-5462

Other practice location 2

123A N Congress Ave
Boynton Beach, FL 33426-5117
Phone (561) 364-8991

Other practice location 3

123A N Congress Ave
Boynton Beach, FL 33426-5117
Phone (561) 364-8991

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

LicenseStateTypeSpecialty
AS 4985FLMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Hearing Centers, Inc. Hearing Instrument Specialist 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.

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1841621802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 SE SUNNYSIDE RD STE 300N",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155703",
            "telephone_number": "281-286-2999",
            "fax_number": "512-607-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E HALLANDALE BEACH BLVD STE 101",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330093722",
            "telephone_number": "954-458-1717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10071 Pines Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330246183",
            "country_code": "US",
            "telephone_number": "954-438-5462",
            "fax_number": "954-437-6252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123A N Congress Ave",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334265117",
            "country_code": "US",
            "telephone_number": "561-364-8991",
            "fax_number": "503-659-5968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123A N Congress Ave",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334265117",
            "country_code": "US",
            "telephone_number": "561-364-8991",
            "fax_number": "503-659-5968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOVEKEN",
        "first_name": "JESSICA",
        "middle_name": "J",
        "credential": "HAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS 4985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.