NPI 1124789680 · live from the CMS NPI Registry
Jacqueline Renee Anderson, AuD
Audiologist in Tampa, FL. National Provider Identifier 1124789680, active.
NPI record
| NPI | 1124789680 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 3250 Zemke Ave, Tampa, FL 33621 |
| Practice phone | 813-827-9601 |
| Enumerated | January 6, 2022 |
| Last updated | July 14, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 2068 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.