STACEY BEARRUNNER (NPI# 1598195661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598195661 |
| Entity Type | Individual |
| Full Name | STACEY BEARRUNNER |
| Credential | H.A.S. |
| Practice Address |
11018 Old Saint Augustine Rd Ste 120 Jacksonville FL 32257-1024 |
| Mailing Address |
6700 Washington Ave S Eden Prairie MN 55344-3405 |
| Practice Telephone | 9042627722 |
| Mailing Telephone | 8003288602 |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2019-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 237600000X | Audiologist-Hearing Aid Fitter | FL | Speech, Language and Hearing Service Providers | |
| Y | 237700000X | Hearing Instrument Specialist | AS4990 | FL | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9100 Merrill Rd Ste 13, Jacksonville, FL 322254349 | 9047251955 | 5036595968 |
| 2255 Dunn Ave Ste 103, Jacksonville, FL 322184719 | 9047519355 | |
| 6020 San Jose Blvd W Ste 615, Jacksonville, FL 322172365 | 9044254393 |
| Street Address |
11018 OLD SAINT AUGUSTINE RD STE 120 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32257-1024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639474034 | Northland Hearing Centers, Inc. | Clinic/Center | 11018 Old Saint Augustine Rd Ste 120, Jacksonville, FL 32257-1024 | 2011-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835842 | Majdoline Kasera | Pharmacist | 11250-4 Old St Augustine Rd, Jacksonville, FL 32257 | 2019-08-06 |
| 1386203859 | Jetaime Y Lewis | Physical Therapist | 9765 San Jose Blvd Ste 6, Jacksonville, FL 32257 | 2019-06-10 |
| 1437622107 | Michelle Espanol Garcia | Nurse Practitioner | 9957 Moorings Dr Ste 204, Jacksonville, FL 32257 | 2019-01-05 |
| 1982172995 | Pacifica Augustine Road LLC | Alzheimer Center (Dementia Center) | 10660 Old Augustine Road, Jacksonville, FL 32257 | 2018-11-07 |
| 1659860492 | Andrea Leigh Miller | Social Worker | 10416 Spotted Fawn Lane, Jacksonville, FL 32257 | 2018-05-08 |
| 1376049965 | Stephanie Lynne Jordon | Nurse Practitioner | 9765 San Jose Blvd Ste 102, Jacksonville, FL 32257 | 2018-04-02 |
| 1205335619 | Annetta Aileen Brown | Respite Care | 4901 Sunbeam Rd Apt 1016, Jacksonville, FL 32257 | 2018-02-12 |
| 1841714888 | Freda Stevens | Counselor | 9521 Shellie Road Unit 13, Jacksonville, FL 32257 | 2017-08-01 |
| 1659821353 | Jennifer Lavoro | Acupuncturist | 11259 Thomaston Pl, Jacksonville, FL 32257 | 2016-10-06 |
| 1225488232 | Avenues Dental LLC | Dentist | 6144 Gazebo Park Place South, Ste 210, Jacksonville, FL 32257 | 2016-06-21 |
| Find all providers in zip 32257 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063020915 | April Christine Gonzalez | Hearing Instrument Specialist | 1500 Beach Blvd Ste 314, Jacksonville, FL 32250-2621 | 2020-07-16 |
| 1891257242 | Jennifer G Keyes | Hearing Instrument Specialist | 12740 Atlantic Blvd Ste 8, Jacksonville, FL 32225-3199 | 2019-04-04 |
| 1164888723 | Hearing Healthcare Management | Hearing Instrument Specialist | 3792 Henderson Dr, Jacksonville, NC 28546-5236 | 2016-01-12 |
| 1407251762 | Candace Faith Cook | Hearing Instrument Specialist | 765 Jim Blake Rd, Jacksonville, NC 28540-7705 | 2014-10-29 |
| 1811391782 | Rodney E. Overstreet | Hearing Instrument Specialist | 1521 W. Walnut, Jacksonville, IL 62650 | 2014-10-21 |
| 1902206238 | Travis Jones Martin Jr. | Hearing Instrument Specialist | 215 Western Blvd, Suite 300, Jacksonville, NC 28546-5730 | 2014-08-22 |
| 1902184948 | Bradley Cole Kirkpatrick | Hearing Instrument Specialist | 3832 Baymeadows Rd, Ste 7, Jacksonville, FL 32217-5605 | 2011-07-25 |
| 1104113547 | Roberto Cabrera | Hearing Instrument Specialist | 12341 Yellow Bluff Rd Ste 4, Jacksonville, FL 32226-2014 | 2011-07-06 |
| 1174849087 | Jessi N Suminski | Hearing Instrument Specialist | 6014 San Jose Blvd W, Jacksonville, FL 32217-2365 | 2010-04-16 |
| 1346572815 | Ryan Thibeault | Hearing Instrument Specialist | 35 University Blvd North, Jacksonville, FL 32211 | 2010-02-08 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32257 |
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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.