Individual provider Active NPI

Jasmine Simmons

  • Audiologist
  • Spring Hill, FL
National Provider Identifier
1912522343
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
4075 Mariner Blvd
Spring Hill, FL 34609-2467
Phone
(352) 666-8910
Fax
(352) 683-6889
NPI assigned
Jun 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

4075 Mariner Blvd
Spring Hill, FL 34609-2467

Mailing address

4075 Mariner Blvd
Spring Hill, FL 34609-2467
Phone (352) 666-8910

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210224001155 FL Practitioner - Qualified Audiologist 3072928092 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Family Hearing Inc. Single Specialty CurrentSince Nov 25, 2020 Accepting new patients
Davis Family Hearing Inc. Single Specialty PastSince Nov 25, 2020 Accepting new patients

Locations

11325 Little Rd
New Prt Rchy, FL 34654
Phone (352) 666-8910

4075 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 666-8910

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": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1912522343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346092467",
            "telephone_number": "352-666-8910",
            "fax_number": "352-683-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346092467",
            "telephone_number": "352-666-8910",
            "fax_number": "352-683-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JASMINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.

Verify at the official NPI Registry.