Active NPI
Jennifer Joy Esse, AU.D.
- Audiologist
- Daniel Island, SC
National Provider Identifier
1992792725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 3069
- Practice address
- 895 Island Park Dr Ste 200
Daniel Island, SC 29492-7991 - Phone
- (843) 971-4199
- NPI assigned
- Oct 6, 2005
- Last updated
- Sep 17, 2018
- 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 | 3069 | SC | Primary |
Addresses
Primary practice location
895 Island Park Dr Ste 200
Daniel Island, SC 29492-7991
Mailing address
895 Island Park Dr # 200a
Daniel Island, SC 29492-7991
Phone (843) 971-4199
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA0690 | Medicaid | SC | |
| 3069 | Other | SC | STATE AUDIOLOGY LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3069 | SC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rem Audiology Associates, P.C. | Audiologist | Past | Accepting new patients |
| Center for Advanced Surgery LLC | Past | Accepting new patients | |
| Low Country ENT PA | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Ambulatory Surgical Clinic/Center
- Ladson, SC
- NPI 1518338052
-
- Specialist
- North Charleston, SC
- NPI 1740478288
-
- Audiologist-Hearing Aid Fitter
- Philadelphia, PA
- NPI 1124072665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537142400000",
"number": "1992792725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "895 ISLAND PARK DR # 200A",
"city": "DANIEL ISLAND",
"state": "SC",
"postal_code": "294927991",
"telephone_number": "843-971-4199",
"fax_number": "843-971-4292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "895 ISLAND PARK DR STE 200",
"city": "DANIEL ISLAND",
"state": "SC",
"postal_code": "294927991",
"telephone_number": "843-971-4199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESSE",
"first_name": "JENNIFER",
"middle_name": "JOY",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-06",
"last_updated": "2018-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "SC",
"license": "3069",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SA0690",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE AUDIOLOGY LICENSE",
"identifier": "3069",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Daniel Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.