NORTHLAND HEARING CENTERS, INC. (NPI# 1376848770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376848770 |
| Entity Type | Organization |
| Organization Name | NORTHLAND HEARING CENTERS, INC. |
| Other Organization Name | US HEARING CENTERS |
| Practice Address |
6020 San Jose Blvd Suite 615 Jacksonville FL 32217-2365 |
| Mailing Address |
2510 E Sunset Rd Unit 5-260 Las Vegas NV 89120-3511 |
| Practice Telephone | 9044254393 |
| Mailing Telephone | 7027980113 |
| Mailing Fax Number | 8662915242 |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2014-12-29 |
| NPI Deactivation Date | 04/22/2014 |
| NPI Reactivation Date | 2014-05-28 |
| Authorized Official Name | JEFFREY L. LONGTAIN (PRESIDENT) |
| Authorized Official Telephone | 7027980113 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHLAND HEARING CENTERS INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers | ||
| N | 237700000X | Hearing Instrument Specialist | Speech, Language and Hearing Service Providers | ||
| Y | 237600000X | Audiologist-Hearing Aid Fitter | Speech, Language and Hearing Service Providers |
| Other Name | Type Code |
|---|---|
| US Hearing Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406440 | Northland Hearing Centers, Inc. | Clinic/Center | 13710 Metropolis Ave Ste 101, Fort Myers, FL 33912-7144 | 2020-10-26 |
| 1750922282 | Northland Hearing Centers, Inc. | Clinic/Center | 621 15th Ave, Franklin, NE 68939-1509 | 2019-10-07 |
| 1487295911 | Northland Hearing Centers, Inc. | Clinic/Center | 309 N Main St Ste 2, Ainsworth, NE 69210-1355 | 2019-10-07 |
| 1437701216 | Northland Hearing Centers, Inc. | Clinic/Center | 1377 Sparta Centre Dr, Sparta, IL 62286-2311 | 2019-07-12 |
| 1982265237 | Northland Hearing Centers, Inc. | Clinic/Center | 1040 S E St, Broken Bow, NE 68822-2430 | 2019-06-27 |
| 1255992509 | Northland Hearing Centers, Inc. | Clinic/Center | 410 W 9th St, Cozad, NE 69130-1345 | 2019-06-27 |
| 1538720990 | Northland Hearing Centers, Inc. | Clinic/Center | 11 John St, Alma, NE 68920-2153 | 2019-06-26 |
| 1811557648 | Northland Hearing Centers, Inc. | Clinic/Center | 430 S Washington St, Marksville, LA 71351 | 2019-06-14 |
| 1063072890 | Northland Hearing Centers, Inc. | Clinic/Center | 224 N Lewis St Ste C, New Iberia, LA 70563-2841 | 2019-06-14 |
| 1801455837 | Northland Hearing Centers, Inc. | Clinic/Center | 405 Texas St, Vidalia, LA 71373-3381 | 2019-06-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | NORTHLAND HEARING CENTERS, INC. | 187 Wolf Rd #101, Albany, New York 12205 |
| Colorado Business Entities | Northland Hearing Centers, Inc. | 6700 Washington Avenue South, Eden Prairie, MN 55344 |
| Washington State Corporations | NORTHLAND HEARING CENTERS, INC. | 6700 Washington Avenue South, Attn: Legal, Eden Prairie, MN 55344 |
| Iowa Business Entities | NORTHLAND HEARING CENTERS, INC. | 6700 Washington Avenue South, Attn Legal Dept., Eden Prairie, MN 55344 |
| Oregon Corporations, Companies and Business Names | NORTHLAND HEARING CENTERS, INC. | 6700 Washington Avenue S, Eden Prairie, MN 55344 |
| Connecticut Business Registrations | NORTHLAND HEARING CENTERS, INC. | 6425 Flying Cloud Drive, Eden Prairie, MN 55344 |
| Massachusetts Corporations | NORTHLAND HEARING CENTERS, INC. | 6425 Flying Cloud Dr., Eden Prairie, MN 55344 |
| Oklahoma Business Registrations | NORTHLAND HEARING CENTERS, INC. | Attn: Legal Dept, 6425 Flying Cloud Dr, Eden Prairie, MN 55344 |
| Indiana Business Entities | NORTHLAND HEARING CENTERS, INC. | 6425 Flying Cloud Dr, Eden Prairie, MN 55344 |
| Street Address |
6020 SAN JOSE BLVD SUITE 615 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32217-2365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336605005 | Mary Ellen Mccullough-list | Behavior Technician | 3437 Miruelo Circle North, Jacksonville, FL 32217 | 2019-02-18 |
| 1285131656 | Priority One Home Care LLC | In Home Supportive Care | 7500 Powers Ave Apt 198, Jacksonville, FL 32217 | 2018-04-11 |
| 1407361272 | Sharon Williams | Home Health | 8300 Plaza Gate Lane #1152, Jacksonville, FL 32217 | 2017-12-02 |
| 1548779929 | Acumed Medical Ltd. | Durable Medical Equipment & Medical Supplies | 6653 Powers Avenue, Suite 134, Jacksonville, FL 32217 | 2017-09-28 |
| 1437685526 | Ward Zeigler | Behavior Technician | 3437 Miruelo Cr. N., Jacksonville, FL 32217 | 2017-05-10 |
| 1538695754 | Shilonda Peterson-jackson | Technician, Other | 3437 Miruelo Cr N, Jacksonville, FL 32217 | 2017-05-08 |
| 1114467834 | Louis R. Lothman | Counselor | 3734 San Viscaya Dr., Jacksonville, FL 32217 | 2017-02-28 |
| 1023490141 | A Gentle Touch Home Health Care LLC. | Home Health | 5991 Chester Avenue, Jacksonville, FL 32217 | 2015-06-25 |
| 1912320334 | Christopher Marshall Fuller | Developmental Therapist | 5132 Edgeware Ct., Jacksonville, FL 32217 | 2014-01-22 |
| 1790040020 | Maria R. Tapia | Psychologist | 7680 Smullian Trail West, Jacksonville, FL 32217 | 2012-07-12 |
| Find all providers in zip 32217 | ||||
| Taxonomy Code | 237600000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist-Hearing Aid Fitter |
| An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual’s hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists". |
| Notes: Source: American Academy of Audiology, 1735 N. Lynn St, Suite 950, Arlington VA 22209, (800)AAA-2336) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336624063 | Vincenza Alessandra Crawford | Audiologist-Hearing Aid Fitter | 8598 Walden Glen Dr, Jacksonville, FL 32256-9033 | 2018-09-27 |
| 1275046906 | Genevieve Holl Harris | Audiologist-Hearing Aid Fitter | 165 Pond Run Ln, Jacksonville, FL 32218-8984 | 2017-11-16 |
| 1437578143 | Dvc Hearing Services Inc | Audiologist-Hearing Aid Fitter | 8771 Perimeter Park Court, Suite 101, Jacksonville, FL 32216-2278 | 2014-04-09 |
| 1922303320 | Northland Hearing Centers Inc | Audiologist-Hearing Aid Fitter | 7200 Normandy Blvd, Suite 14, Jacksonville, FL 32205-6287 | 2011-01-14 |
| 1295894905 | Hearing Aids of Jacksonville, Inc | Audiologist-Hearing Aid Fitter | 2269 Blanding Blvd, Jacksonville, FL 32210-4100 | 2006-12-08 |
| 1881246734 | Travis Johnson | Audiologist-Hearing Aid Fitter | 1122 Veterans Dr Ste 115, Jacksonville, IL 62650-4032 | 2019-07-11 |
| 1649748898 | Stephanie Giovany Sandoval | Audiologist-Hearing Aid Fitter | 55 Office Park Dr, Jacksonville, NC 28546-7327 | 2018-11-06 |
| 1629552054 | Audiology Services Company Usa, LLC | Audiologist-Hearing Aid Fitter | 2051 Art Museum Dr Ste 130, Jacksonville, FL 32207-2512 | 2018-09-21 |
| 1043790066 | Leslie Anne Staverman | Audiologist-Hearing Aid Fitter | 12276 San Jose Blvd Ste 710, Jacksonville, FL 32223-8674 | 2018-08-20 |
| 1598195661 | Stacey Bearrunner | Audiologist-Hearing Aid Fitter | 11018 Old Saint Augustine Rd Ste 120, Jacksonville, FL 32257-1024 | 2013-11-26 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32217 |
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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.