Individual provider Active NPI

Selena Brown Snowden, AU.D.

  • Audiologist
  • Tallahassee, FL
National Provider Identifier
1891885356
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1007 Issued in FL
Practice address
107 Regional Rehabilitation Center
Florida State University Speech and Hearing Clinic
Tallahassee, FL 32306
Phone
(850) 644-2238
Fax
(850) 644-8994
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1007 FL Primary

Addresses

Primary practice location

107 Regional Rehabilitation Center
Florida State University Speech and Hearing Clinic
Tallahassee, FL 32306

Mailing address

3985 Calle de Santos
Tallahassee, FL 32311-3406
Phone (850) 656-8917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171030001398 FL Practitioner - Qualified Audiologist 1951677376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida State UniversityGroup PAC ID 2163795964, 12 clinicians

Practice addresses (Care Compare)

201 W Bloxham St
Tallahassee, FL 32306-1200
Phone (850) 644-2238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY1007FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida State University Audiologist CurrentSince Jul 11, 2017 Accepting new patients
Florida State University CurrentSince Jun 25, 2017 Accepting new patients

Locations

201 W Bloxham St
Tallahassee, FL 32301
Phone (850) 644-2238

Organizations & group practices 2

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1891885356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3985 CALLE DE SANTOS",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323113406",
            "telephone_number": "850-656-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 REGIONAL REHABILITATION CENTER",
            "address_2": "FLORIDA STATE UNIVERSITY SPEECH AND HEARING CLINIC",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32306",
            "telephone_number": "850-644-2238",
            "fax_number": "850-644-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOWDEN",
        "first_name": "SELENA",
        "middle_name": "BROWN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.