Organization Active NPI

Amplified Resource Group LLC

  • Audiologist
  • Ponte Vedra Beach, FL
National Provider Identifier
1861897753
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
AMPLIFIED RESOURCE GROUP LLC
Practice address
130 Corridor Rd
Ponte Vedra Beach, FL 32082-3225
Phone
(612) 817-8481
NPI assigned
Nov 4, 2014
Last updated
Jun 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Richard Jackson
Title
Managing Director
Phone
(612) 817-8481

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X NU
Audiologist 231H00000X NU Primary
Hearing Instrument Specialist 237700000X NU

Addresses

Primary practice location

130 Corridor Rd
Ponte Vedra Beach, FL 32082-3225

Mailing address

PO Box 2997
Ponte Vedra Beach, FL 32004-2997

National Provider Directory

National Provider Directory

Locations

130 Corridor Rd
Ponte Vedra Beach, FL 32082
Phone (612) 817-8481

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1861897753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2997",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320042997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CORRIDOR RD",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823225",
            "telephone_number": "612-817-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMPLIFIED RESOURCE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "612-817-8481"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.