MS. LAUREN R STACK (NPI# 1760493290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760493290 |
| Entity Type | Individual |
| Full Name | MS. LAUREN R STACK |
| Credential | AUD |
| Practice Address |
807 Childrens Way Jacksonville FL 32207-8426 |
| Mailing Address |
Po Box 191 Provider Enrollment Dept Rockland DE 19732-0191 |
| Practice Telephone | 9043903690 |
| Practice Fax Number | 9043903502 |
| Mailing Telephone | 3026516212 |
| Mailing Fax Number | 3026514945 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2011-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AZ504 | FL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992131833 | Lauren F Stack | Psychologist | 310 E Shore Rd, Suite 100, Great Neck, NY 11023-2410 | 2013-09-24 |
| Street Address |
807 CHILDRENS WAY |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740281658 | Elizabeth A Moran | Orthopaedic Surgery | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2005-08-02 |
| 1689229213 | Madyson Marie Hund | Audiologist | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2019-08-09 |
| 1336792829 | Graciela Teresita Gallo | Psychiatry & Neurology | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2019-07-23 |
| 1538712013 | Vanessa V Oliveira Valente | Surgery | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2019-07-23 |
| 1679031181 | Navondria Lawson | Nurse Practitioner | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2019-03-05 |
| 1952870644 | Jessica Alice Johnson | Nurse Practitioner | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2018-11-25 |
| 1831676584 | Lukas Scott Hayden | Physician Assistant | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2018-07-25 |
| 1053807750 | Christine Nichole Crews | Psychiatry & Neurology | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2018-07-05 |
| 1134610470 | Rocio Krystal Rivera-valentin | Student in an Organized Health Care Education/Training Program | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2018-05-22 |
| 1144726696 | Paige Marie Ryan | Student in an Organized Health Care Education/Training Program | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2018-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| 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 | 32207 |
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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.