Active NPI
Taryn Nicole Bozeman, HAS
- Hearing Instrument Specialist
- Jupiter, FL
National Provider Identifier
1851809859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- AS5195
- Practice address
- 210 Jupiter Lakes Blvd.
BLDG. 3000 Suite 202
Jupiter, FL 33458 - Phone
- (561) 744-0100
- Fax
- (561) 744-0173
- NPI assigned
- Jan 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | AS5195 | FL | Primary |
Addresses
Primary practice location
210 Jupiter Lakes Blvd.
BLDG. 3000 Suite 202
Jupiter, FL 33458
Mailing address
210 Jupiter Lakes Blvd.
BLDG. 3000 Suite 202
Jupiter, FL 33458
Phone (561) 744-0100
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
| License | State | Type | Specialty |
|---|---|---|---|
| AS5195 | FL | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515715200000",
"number": "1851809859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 JUPITER LAKES BLVD.",
"address_2": "BLDG. 3000 SUITE 202",
"city": "JUPITER",
"state": "FL",
"postal_code": "33458",
"telephone_number": "561-744-0100",
"fax_number": "561-744-0173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 JUPITER LAKES BLVD.",
"address_2": "BLDG. 3000 SUITE 202",
"city": "JUPITER",
"state": "FL",
"postal_code": "33458",
"telephone_number": "561-744-0100",
"fax_number": "561-744-0173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOZEMAN",
"first_name": "TARYN",
"middle_name": "NICOLE",
"credential": "HAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-12",
"last_updated": "2018-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "FL",
"license": "AS5195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.