Individual provider Active NPI

Jessica Preston, HIS

  • Hearing Instrument Specialist
  • Ponte Vedra Beach, FL
National Provider Identifier
1942670591
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS5134 Issued in FL
Practice address
166 A1A N
Ste 100
Ponte Vedra Beach, FL 32082-5701
Phone
(904) 273-2232
Fax
(904) 273-2219
NPI assigned
Sep 25, 2015
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X AS5134 FL Primary

Addresses

Primary practice location

166 A1A N
Ste 100
Ponte Vedra Beach, FL 32082-5701

Mailing address

215 Shuman Blvd
Ste 401
Naperville, IL 60563-8458
Phone (630) 303-5380

Other practice location 1

4509 Saint Johns Ave
Jacksonville, FL 32210-1855
Phone (904) 683-5253

Other names 1

  • Jessica Hammond Former name

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

LicenseStateTypeSpecialty
AS5134FLMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1942670591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SHUMAN BLVD",
            "address_2": "STE 401",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638458",
            "telephone_number": "630-303-5380",
            "fax_number": "978-313-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 A1A N",
            "address_2": "STE 100",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320825701",
            "telephone_number": "904-273-2232",
            "fax_number": "904-273-2219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4509 Saint Johns Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322101855",
            "country_code": "US",
            "telephone_number": "904-683-5253",
            "fax_number": "904-683-7235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "JESSICA",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS5134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HAMMOND",
            "credential": "HIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 17, 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.

Verify at the official NPI Registry.