MRS. GRACE GORE STURDIVANT AU.D. - NPI 1558636282

Q: What is Grace Sturdivant's NPI number?

The NPI number for Grace Sturdivant is 1558636282. It was assigned to this individual provider in the NPPES registry on March 13, 2012.

Q: What is Grace Sturdivant's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Q: When was this NPI record last updated?

The NPPES record for Grace Sturdivant was last updated on March 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Mrs. Grace Gore Sturdivant Au.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. GRACE GORE STURDIVANT AU.D. (NPI 1558636282) is an individual audiologist in Jackson, Mississippi, licensed in Mississippi (A3608) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1558636282

Entity TypeIndividualFemale

Primary Taxonomy231H00000X

Provider Legal NameMRS. GRACE GORE STURDIVANTCredential: AU.D.

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 815-6000 · Fax (601) 984-5085

Phone(601) 815-6000

Fax(601) 984-5085

Sole ProprietorNo

Enumeration DateMarch 13, 2012

Last NPPES UpdateMarch 17, 2014

✔ NPI 1558636282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers

Taxonomy Code231H00000X

License✔ Licensed in MS · A3608

Definition

(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.

2500 N STATE ST, Jackson, MS 39216

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Other Identifiers 4

Medicare PIN302I643081MS

Medicare PIN302I644989MS

OtherP01266932MS · Railroad Medicare

Medicaid07203769MS

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)