Active NPI
Judenie Raphael, AU.D
- Audiologist
- Jacksonville, FL
National Provider Identifier
1871914275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY1834
- Practice address
- 1128 N Laura St
Jacksonville, FL 32206-4912 - Phone
- (904) 344-3403
- Fax
- (904) 355-4149
- NPI assigned
- Jan 2, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9502265 | FL | |
| Home Health Registered Nurse | 163WH0200X | 9502265 | FL | |
| Homemaker | 376J00000X | |||
| Audiologist | 231H00000X | AY1834 | FL | Primary |
Addresses
Primary practice location
1128 N Laura St
Jacksonville, FL 32206-4912
Mailing address
1128 N Laura St
Jacksonville, FL 32206-4912
Phone (904) 344-3403
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010514600 | Medicaid | FL | |
| 003154616A | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Yestolifellc@gmail.com | Direct | Yes To Life HomeMaker & Companion Services. LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 59.59 of 100
- Quality
- 59.93
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9502265 | FL | MD | Home Health Registered Nurse |
| AY1834 | FL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Audiology Distribution, LLC | Past | Accepting new patients |
Locations
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
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.
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- NPI 1144276452
-
- Surgery Physician
- Jacksonville, FL
- NPI 1588824858
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
- Audiologist-Hearing Aid Fitter
- Dublin, OH
- NPI 1164707998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1871914275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1128 N LAURA ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322064912",
"telephone_number": "904-344-3403",
"fax_number": "904-355-4149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1128 N LAURA ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322064912",
"telephone_number": "904-344-3403",
"fax_number": "904-355-4149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAPHAEL",
"first_name": "JUDENIE",
"credential": "AU.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-02",
"last_updated": "2023-11-27",
"certification_date": "2020-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9502265",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "FL",
"license": "9502265",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY1834",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010514600",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003154616A",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Yestolifellc@gmail.com",
"affiliation": "Y",
"endpointDescription": "yestolifellc@gmail.com",
"affiliationName": "Yes To Life HomeMaker & Companion Services. LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "11374 Emma Oaks Ln",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322212865",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 27, 2023; 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.