DR. FENJA MATTSON (NPI# 1184791956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184791956 |
| Entity Type | Individual |
| Full Name | DR. FENJA MATTSON |
| Credential | AUD |
| Practice Address |
1010 N Davis St Ste 101 Jacksonville FL 32209-6808 |
| Practice Telephone | (904) 355-3403 |
| Practice Fax Number | 9043554149 |
| Mailing Telephone | 9043553403 |
| Mailing Fax Number | 9043554149 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AY 1153 | FL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 6003877-00 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1128 N Laura St, Jacksonville, FL 322064912 | 9043553403 | 9043554149 |
| Street Address |
1010 N DAVIS ST STE 101 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32209-6808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346351301 | Jacksonville Speech & Hearing Center, Inc. | Speech-Language Pathologist | 1010 N Davis St Ste 101, Jacksonville, FL 32209-6808 | 2006-08-31 |
| 1255973475 | Kathryn Deanne Dutton | Speech-Language Pathologist | 1010 N Davis St Ste 101, Jacksonville, FL 32209-6826 | 2019-10-09 |
| 1568942209 | Brittany Nicole Mitrick | Speech-Language Pathologist | 1010 N Davis St Ste 101, Jacksonville, FL 32209-6826 | 2018-08-21 |
| 1194270793 | Ciara Long | Speech-Language Pathologist | 1010 N Davis St Ste 101, Jacksonville, FL 32209-6808 | 2016-08-24 |
| 1982158507 | Christine Pearson | Speech-Language Pathologist | 1010 N Davis St Ste 101, Jacksonville, FL 32209-6808 | 2016-08-11 |
| 1124497987 | Evonne Marie Long | Audiologist | 1010 N Davis St Ste 101, Jacksonville, FL 32209 | 2015-09-22 |
| 1235579988 | Dorothy Eleanor Bourgeois | Speech-Language Pathologist | 1010 N Davis St Ste 101, Jacksonville, FL 32209-6826 | 2013-06-26 |
| 1295802478 | Speech & Hearing Center, Inc. | Audiologist | 1010 N Davis St Ste 101, Jacksonville, FL 32209-6808 | 2006-11-30 |
| 1013084292 | Speech & Hearing Center, Inc. | Speech-Language Pathologist | 1010 N Davis St Ste 101, Jacksonville, FL 32209-6826 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506183 | Hayley M Shade | Student in an Organized Health Care Education/Training Program | 655 8th St. W., 4th Floor, Lrc 653-1 West 8th Street, L18, Jacksonville, FL 32209 | 2020-04-15 |
| 1407484629 | Micah Christine Turpeau | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2020-04-01 |
| 1730716366 | Nikki Javia | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Fl 4, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1336776061 | Samuel Kamoroff | Student in an Organized Health Care Education/Training Program | 653-1 West 8th Street, 4th Floor, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1376194092 | Donald Wayne Johnson Jr. | Pharmacist | Uf Health Jacksonville, 655 West 8th Street, Jacksonville, FL 32209 | 2019-09-24 |
| 1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
| 1295296499 | Christian King | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2019-03-29 |
| 1013478403 | David William Barton | Orthopaedic Surgery | 655 W 8th St, Box C-126, Jacksonville, FL 32209 | 2019-03-27 |
| 1912497108 | Lisa Jordan | Adult Companion | 1515 W 31st St, Jacksonville, FL 32209 | 2018-05-14 |
| 1275020968 | Eloisa Anne Ello-esma | Nurse Practitioner | W. 8th Street, Jacksonville, FL 32209 | 2018-04-18 |
| Find all providers in zip 32209 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1417464538 | Staverman Hearing Centers, LLC | Audiologist | 12276 San Jose Blvd Ste 710, Jacksonville, FL 32223-8674 | 2018-01-10 |
| 1487171377 | Katherine Cardona | Audiologist | 10475 Centurion Parkway, N Suite 303, Jacksonville, FL 32256 | 2017-08-23 |
| 1144687658 | Kelly A. Eaton | Audiologist | 10475 Centurion Pkwy N Ste 300, Jacksonville, FL 32256-5004 | 2016-01-28 |
| 1134597016 | Lauren Dexter Miller | Audiologist | 2051 Art Museum Dr Ste 130, Jacksonville, FL 32207-2512 | 2015-09-09 |
| 1417200940 | Connect Hearing, Inc. | Audiologist | 4509 Saint Johns Ave, Suite 7, Jacksonville, FL 32210-1855 | 2012-10-22 |
| 1558619452 | Natalla Shonay Mccoy | Audiologist | 7119 Swamp Flower Dr N, Jacksonville, FL 32244-6157 | 2012-08-27 |
| 1811277288 | Katherine Michelle Lang | Audiologist | 7740 Point Meadows Dr Ste 7, Jacksonville, FL 32256-9180 | 2011-08-17 |
| 1184923559 | Karen Susan Kibbe | Audiologist | 6020 San Jose Blvd W, Jacksonville, FL 32217-2365 | 2011-03-24 |
| 1376848770 | Northland Hearing Centers, Inc. | Audiologist | 6020 San Jose Blvd, Suite 615, Jacksonville, FL 32217-2365 | 2011-01-14 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32209 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.