Jenna Viditz-Ward is a Audiologist practicing in Fort Mill, South Carolina. The National Provider Identifier (NPI) is #1093555716, which was assigned on May 30, 2024, and the registration record was last updated on December 17, 2025. The practitioner's main practice location is at 870 Gold Hill Rd Ste 104, Fort Mill, SC 29708-8988; the contact telephone number is 8036208250, and the fax number is 8036386901. The primary taxonomy of Jenna Viditz-Ward is Audiologist (231H00000X). Jenna Viditz-Ward is licensed to practice in the state of South Carolina (#7971), South Carolina (#7971).
(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.
| NPI | 1093555716 |
| Entity Type | Individual |
| Provider Name | JENNA VIDITZ-WARD |
| Other Name |
JENNA M VAN BOSCH (Former Name) |
| Gender | Female |
| Credential | AUD |
| Other Credential | AU.D. |
| Practice Address |
870 Gold Hill Rd Ste 104 Fort Mill SC 29708-8988 |
| Practice Telephone | 8036208250 |
| Practice Fax Number | 8036386901 |
| Mailing Address |
870 Gold Hill Rd Ste 104 Fort Mill SC 29708-8988 |
| Mailing Telephone | 8036208250 |
| Mailing Fax Number | 8036386901 |
| Certification Date | 2025-12-17 |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2025-12-17 |
| Is Sole Proprietor | N |
| PAC ID |
1658811203 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | JENNA VIDITZ-WARD |
| Primary Specialty | QUALIFIED AUDIOLOGIST |
| Organization Legal Name | LAKESIDE AUDIOLOGY LLC |
| Address |
870 Gold Hill Rd Suite 104 Fort Mill SC 29708-8988 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 7971 | SC | ||
| N | 237600000X | Audiologist-Hearing Aid Fitter | 7971 | SC |
| Code | 231H00000X |
| Taxonomy | Audiologist |
| Classification | Audiologist |
| Grouping | Speech, Language and Hearing Service Providers |
| 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. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| Classification | Audiologist-Hearing Aid Fitter |
| Grouping | Speech, Language and Hearing Service Providers |
| Definition: An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists". |
| Notes: Source: American Academy of Audiology, 1735 N. Lynn St, Suite 950, Arlington VA 22209, (800)AAA-2336) |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Joshua Tang Chuen Cheung | 1854 Nelson Way, San Jose, CA 95124-3629 | Audiologist | 2026-06-04 |
| Joseph Skelton | 1000 Jason Witten Way, Elizabethton, TN 37643-2970 | Audiologist | 2026-06-04 |
| Morgan Cassford | 243 Charles St, Boston, MA 02114-3002 | Audiologist | 2026-06-04 |
| Nilsha Elency Valle-Ortega | 49 Front St N, Issaquah, WA 98027-3237 | Audiologist | 2026-06-04 |
| Caroline Kay Paroby | 115 Kildaire Park Dr Ste 308, Cary, NC 27518-8144 | Audiologist | 2026-06-03 |
| Ashley Reynard Toups · Ashley Margaret Reynard | 7703 Floyd Curl Dr # 6-B, San Antonio, TX 78229-3901 | Audiologist | 2026-06-04 |
| Abigail Ormond | 115 Parkway Office Ct Ste 100, Cary, NC 27518-7431 | Audiologist | 2026-06-03 |
| Sarah Emmaline Talley | 4600 Lake Boone Trl Ste 100, Raleigh, NC 27607-7529 | Audiologist | 2026-06-03 |
| Kendell Alexander Adson | 10285 Little Patuxent Pkwy Ste 200, Columbia, MD 21044-3489 | Audiologist | 2026-06-04 |
| Blue Heel Consulting LLC | 12148 Cambridge Square Dr, Cornelius, NC 28031-5824 | Audiologist | 2026-06-03 |
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| Street Address |
870 GOLD HILL RD STE 104 |
| City | FORT MILL |
| State | SC |
| Zip Code | 29708-8988 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Shannon Weynand | 870 Gold Hill Rd Ste 104, Fort Mill, SC 29708-8988 | Speech-Language Pathologist | 2017-05-02 |
| Kimberly L Block | 870 Gold Hill Rd Ste 104, Fort Mill, SC 29708-8988 | Audiologist | 2007-04-24 |
| Lakeside Audiology LLC | 870 Gold Hill Rd Ste 104, Fort Mill, SC 29708-8988 | Audiologist | 2015-03-19 |
| Kelly Taylor Schlicher | 870 Gold Hill Rd Ste 104, Fort Mill, SC 29708-8988 | Audiologist | 2026-06-04 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Adam Nickles | Palmetto Family Hearing Center, 127 Ben Casey Dr., Ste. 105, Fort Mill, SC 29708 | Audiologist | 2023-05-05 |
| Justin Sanders | 1034 Gold Hill Rd, Suite 101, Fort Mill, SC 29708 | Dentist | 2020-07-21 |
| Laura Britney Thompson | 2848 Pleasant Rd Ste 1091, Fort Mill, SC 29708 | Speech-Language Pathologist | 2018-08-09 |
| Sabatino Vincenzo Artesi | 614 Pine Links Drive, Tega Cay, SC 29708 | Massage Therapist | 2023-07-12 |
| Home Care Partners LLC | 150 Bw Thomas Dr, Suite 122, Fortmill, SC 29708 | In Home Supportive Care Agency | 2024-12-05 |
| Modern Concepts, LLC | 1808 Second Baxter Xing Ste 108, Fort Mill, SC 29708 | General Practice Physician | 2017-11-21 |
| Henk Johannes Grobbelaar | 810 Brayden Pkwy, Ste 109, Fort Mill, SC 29708 | General Practice Dentistry | 2022-06-03 |
| Courtney Carrick | 506 6th Baxter Crossing, Suite B, Fort Mill, SC 29708 | Assistant Behavior Analyst | 2021-01-07 |
| Jennifer Marie Kasik | 1670 Highway Sc-160 West, Suite 201, Fort Mill, SC 29708 | Chiropractor | 2026-04-29 |
| Allison Meredith Pastirik · Allison Meredith Mcphillips | 2764 Pleasant Rd., Ste A Pmb 10340, Fort Mill, SC 29708 | Clinical Social Worker | 2018-07-23 |
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| Jenna Austin · Jenna Kawlewski | 3395 Plymouth Rd, Minnetonka, MN 55305-3765 | Counselor | 2026-04-07 |
| Jenna Goz | 524 E Main St, Riverhead, NY 11901-2668 | Speech-Language Pathologist | 2026-06-02 |
| Jenna Lee | 749 University Row Ste 200, Madison, WI 53705-1465 | Student in an Organized Health Care Education/Training Program | 2026-04-03 |
| Jenna Elizabeth Erickson · Jenna Elizabeth Hansen | 425 241st St, Balaton, MN 56115-1107 | Lactation Consultant (Registered Nurse) | 2019-12-23 |
| Jenna Marshall | 1401 Johnston Willis Dr, North Chesterfield, VA 23235-4789 | Pharmacist | 2026-03-31 |
| Jenna Ure | 9500 Gilman Dr, La Jolla, CA 92093-5004 | Student in an Organized Health Care Education/Training Program | 2026-04-28 |
| Jenna Haines Koch · Jenna Marie Haines | 401 Ne Front St, Milford, DE 19963-1435 | Clinical Social Worker | 2026-05-01 |
| Jenna Goh | 741 Airport Rd, Hazle Township, PA 18202-3296 | Student in an Organized Health Care Education/Training Program | 2026-05-04 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |