JORDAN LEE ERICKSEN (NPI# 1629574462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629574462 |
| Entity Type | Individual |
| Full Name | JORDAN LEE ERICKSEN |
| Credential | AU.D. |
| Practice Address |
6827 1st Ave S Ste 100 St Petersburg FL 33707-1242 |
| Mailing Address |
10002 Princess Palm Ave Ste 332 Tampa FL 33619-8327 |
| Practice Telephone | 8138798045 |
| Practice Fax Number | 7273410332 |
| Mailing Telephone | 8135717184 |
| Mailing Fax Number | 8136544695 |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AY2173 | FL | Speech, Language and Hearing Service Providers |
| Street Address |
6827 1ST AVE S STE 100 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33707-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093751000 | Ricardo Requena | Otolaryngology | 6827 1st Ave S Ste 100, St Petersburg, FL 33707-1242 | 2006-06-20 |
| 1093374571 | Skye Dorsett Quamina | Audiologist | 6827 1st Ave S Ste 100, St Petersburg, FL 33707-1242 | 2019-06-10 |
| 1457557654 | Elisa Margo Lynskey | Otolaryngology | 6827 1st Ave S Ste 100, St Petersburg, FL 33707-1242 | 2007-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013475466 | Baycare Urgent Care, LLC | Pharmacy | 900 Carillon Parkway Ste 106, St. Petersburg, FL 33707 | 2019-03-05 |
| 1245754449 | S Dunkelberger Do LLC | Family Medicine | 6801 Gulfport Blvd S., Suite 6, Sout Pasadena, FL 33707 | 2017-07-29 |
| 1497196828 | Montego Mckinnon Sr. | Pharmacy Technician | 1501 Pasadena Shores Dr, St. Petersburg, FL 33707 | 2013-07-15 |
| 1558551580 | Linda K Barchie | Massage Therapist | 7230 Central Avenue, St Petersburg, FL 33707 | 2007-07-26 |
| 1487790770 | Margaret Helen Young | Dentist | 509 Pasadena Avenue South, St Petersburg, FL 33707 | 2007-01-30 |
| 1063567279 | Jack M Hafer | Dentist | 2525 Pasadena Ave S, Ste E, Pasadena, FL 33707 | 2007-01-25 |
| 1740331305 | Suncoast O2 Systems Inc. | Durable Medical Equipment & Medical Supplies | 5213 1st Avenue S, St. Petersburg, FL 33707 | 2007-01-12 |
| 1902987902 | Demekisa Sidamo Davis | Acupuncturist | 5301 Gulfport Blvd, Gulfport, FL 33707 | 2006-10-17 |
| 1689767691 | Mark A. Roberts | Family Medicine | 1240 81st Street South, St. Petersburg, FL 33707 | 2006-10-02 |
| 1457443004 | Darla Marie Keyes | Physical Therapist | 2825 Seabreeze Dr, Gulfport, FL 33707 | 2006-09-29 |
| Find all providers in zip 33707 | ||||
| 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 |
|---|---|---|---|---|
| 1598003287 | Sandra Yampolsky | Audiologist | 880 6th St S Dept 7700, St Petersburg, FL 33701-4827 | 2013-01-30 |
| 1184997918 | Paul Alexander Roberson Jr. | Audiologist | 947 Tyrone Blvd N, St Petersburg, FL 33710-6332 | 2012-02-09 |
| 1679878979 | Janice Tanedo Powis | Audiologist | 3173 4th St N, St Petersburg, FL 33704-2124 | 2011-01-18 |
| 1528104973 | Mary Dolan-ash | Audiologist | 880 6th St South #170, St Petersburg, FL 33701 | 2007-01-30 |
| 1225174469 | Risa Beth Barnett-padeni | Audiologist | 880 6th St S Ste 170, St Petersburg, FL 33701-4823 | 2007-01-29 |
| 1629127451 | Susan E Terry | Audiologist | 4107 5th Avenue N., St Petersburg, FL 33711-1140 | 2007-01-10 |
| 1043247760 | Daniel P Gardner | Audiologist | 970 Lake Carillon Dr, Ste 300, St Petersburg, FL 33716-1129 | 2006-06-27 |
| 1508802299 | Cortney Anne Eaton | Audiologist | 9824 54th Ave N, St Petersburg, FL 33708-3708 | 2006-06-21 |
| 1497367569 | Jade Hammerly | Audiologist | 3173 4th St N, St Petersburg, FL 33704-2124 | 2020-08-20 |
| 1093374571 | Skye Dorsett Quamina | Audiologist | 6827 1st Ave S Ste 100, St Petersburg, FL 33707-1242 | 2019-06-10 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33707 |
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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.