Active NPI
Brooke Worthington Davidson, AU.D.
- Audiologist
- Jacksonville Beach, FL
National Provider Identifier
1851777494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY1954
- Practice address
- 1370 13TH Ave S Ste 115
Jacksonville Beach, FL 32250 - Phone
- (904) 202-6390
- Fax
- (904) 390-7388
- NPI assigned
- Aug 5, 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 | AY1954 | FL | Primary |
Addresses
Primary practice location
1370 13TH Ave S Ste 115
Jacksonville Beach, FL 32250
Mailing address
PO Box 41516
Jacksonville, FL 32203-1516
Phone (904) 202-5111
Other names 1
- Brooke Anne Worthington
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| Baptist ENT Specialists Inc | Past | Accepting new patients |
Locations
807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600
8331 N Davis Hwy
Spc Care
Pensacola, FL 32514
Phone (850) 505-4700
8331 N Davis Hwy
Pensacola, FL 32514
Phone (850) 505-4700
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
-
- Otolaryngology Physician
- Jacksonville, FL
- NPI 1114306024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526947200000",
"number": "1851777494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 41516",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322031516",
"telephone_number": "904-202-5111",
"fax_number": "904-391-5836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 13TH AVE S STE 115",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "32250",
"telephone_number": "904-202-6390",
"fax_number": "904-390-7388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "BROOKE",
"middle_name": "WORTHINGTON",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-05",
"last_updated": "2018-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY1954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BROOKE",
"last_name": "WORTHINGTON",
"middle_name": "ANNE",
"credential": "AU.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jacksonville Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.