Active NPI
Jamie E Monzingo, AUD
- Audiologist
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 4084
- Practice address
- 200 Arbor Lake Dr Ste 120
Columbia, SC 29223-4516 - Phone
- (803) 457-8120
- Fax
- (803) 457-8129
- NPI assigned
- May 22, 2013
- Last updated
- Jun 16, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 4084 | SC | Primary |
Addresses
Primary practice location
200 Arbor Lake Dr Ste 120
Columbia, SC 29223-4516
Mailing address
2295 Henry Tecklenburg Dr
Charleston, SC 29414-7801
Phone (843) 766-7103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4084 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston ENT Associates, LLC | Current | Accepting new patients | |
| Charleston ENT Associates, LLC | Current | Accepting new patients | |
| Northland Hearing Centers, Inc. | Past | Accepting new patients | |
| Northland Hearing Centers, Inc. | Audiologist | Past | Accepting new patients |
Locations
1849 Savage Rd
Charleston, SC 29407
Phone (843) 576-2600
2295 Henry Tecklenburg Dr
Charleston, SC 29414
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otolaryngology Physician
- Charleston, SC
- NPI 1588607303
-
dba Surgery Center of Charleston
- Ambulatory Surgical Clinic/Center
- Charleston, SC
- NPI 1124026422
-
dba All American Hearing
- Hearing and Speech Clinic/Center
- Sparta, IL
- NPI 1184677791
-
- Hearing and Speech Clinic/Center
- Eden Prairie, MN
- NPI 1225070667
Audiologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655337600000",
"number": "1982040572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2295 HENRY TECKLENBURG DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294147801",
"telephone_number": "843-766-7103",
"fax_number": "803-457-8129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 ARBOR LAKE DR STE 120",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292234516",
"telephone_number": "803-457-8120",
"fax_number": "803-457-8129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONZINGO",
"first_name": "JAMIE",
"middle_name": "E",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-22",
"last_updated": "2022-06-16",
"certification_date": "2022-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "SC",
"license": "4084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.