JUDENIE RAPHAEL (NPI# 1871914275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871914275 |
| Entity Type | Individual |
| Full Name | JUDENIE RAPHAEL |
| Credential | AU.D |
| Practice Address |
1128 N Laura St Jacksonville FL 32206-4912 |
| Practice Telephone | 9043443403 |
| Practice Fax Number | 9043554149 |
| Mailing Telephone | 9043443403 |
| Mailing Fax Number | 9043554149 |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2020-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 9502265 | FL | Nursing Service Providers |
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
9502265 | FL | Nursing Service Providers |
| Y | 231H00000X | Audiologist | AY1834 | FL | Speech, Language and Hearing Service Providers |
| N | 376J00000X | Homemaker | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003154616A | 05 | |
| FL | 010514600 | 05 |
| Street Address |
1128 N LAURA ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32206-4912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609982966 | Kimberly Perkins | Audiologist | 1128 N Laura St, Jacksonville, FL 32206-4912 | 2006-08-21 |
| 1225577760 | Cleanslate Medical Group of Florida, Pllc | Internal Medicine | 1128 N Laura St, Jacksonville, FL 32206-4912 | 2017-02-16 |
| 1598141301 | Kathryn Murphy Magamoll | Speech-Language Pathologist | 1128 N Laura St, Jacksonville, FL 32206-4912 | 2015-08-04 |
| 1295124105 | Walter Warren Ivey IIi | Audiologist | 1128 N Laura St, Jacksonville, FL 32206-4912 | 2015-01-15 |
| 1598188534 | Kim Levenson | Speech-Language Pathologist | 1128 N Laura St, Jacksonville, FL 32206-4912 | 2014-01-28 |
| 1922445907 | Mary Jennifer Zimmerman | Speech-Language Pathologist | 1128 N Laura St, Jacksonville, FL 32206-4912 | 2013-05-30 |
| 1831441914 | Zander Keig | Social Worker | 1128 N Laura St, Jacksonville, FL 32206-4912 | 2012-10-12 |
| 1043592868 | Laura M Stagliano | Speech-Language Pathologist | 1128 N Laura St, Jacksonville, FL 32206-4912 | 2011-09-19 |
| 1275865875 | Robin L Edge | Speech-Language Pathologist | 1128 N Laura St, Jacksonville, FL 32206-4912 | 2010-02-05 |
| 1316134182 | Betsy Carole Summerlin | Speech-Language Pathologist | 1128 N Laura St, Jacksonville, FL 32206-4912 | 2007-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790275543 | Marvin Victor Sindel IIi | Nurse Practitioner | 1241 E 8th St, Jacksonville, FL 32206 | 2018-05-17 |
| 1982126553 | Marcia Camille Holloway | In Home Supportive Care | 647 East 31th Street, Jacksonville, FL 32206 | 2017-07-14 |
| 1407302656 | Tahnita Fleming | Day Training, Developmentally Disabled Services | 1309 Van Buren Street, Jacksonville, FL 32206 | 2016-08-28 |
| 1912202136 | Bishop Home Care, Inc | Clinic/Center | 1627 E 8th Street, Jacksonville, FL 32206 | 2011-01-19 |
| 1407183965 | Richard Adam Crosby | Chiropractor | 4211 North Pearl St., Jacksonville, FL 32206 | 2009-11-04 |
| 1346494903 | Delvenia Renee Mitchell | Specialist | 4515 N Pearl St Apt 2, Jacksonville, FL 32206 | 2008-11-10 |
| 1962662775 | Curtis Michael Bryant | Radiology | 2015 Jefferson Street, University of Florida Proton Institute, Jacksonville, FL 32206 | 2008-06-15 |
| 1932253879 | Gale Marie Cohen-weiss | Social Worker | Veterans Health System, Jacksonville Outpatient Clinic, 1833 Boulevard, Jacksonville, FL 32206 | 2007-01-22 |
| 1396817557 | Bella Caimol Ejercito | Internal Medicine | 4608 Norwood Ave, Jacksonville, FL 32206 | 2006-11-14 |
| 1962584433 | Jessica Ivette Warthen | Pharmacist | 1833 Boluevard, Department of Veterans Affairs; Mental Health Clinic, Jacksonville, FL 32206 | 2006-10-20 |
| Find all providers in zip 32206 | ||||
| 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 | 32206 |
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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.