Jenna Viditz-Ward, AUD
NPI 1093555716ActiveIndividual· Audiologist· Fort Mill, SC
Audiologist (AUD) in Fort Mill, South Carolina, licensed in SC, with an NPI issued in May 2024. Enrolled in Medicare as practitioner - qualified audiologist.
Overview
| NPI | 1093555716 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AUD |
| Sole proprietor | No |
| NPI issued | May 30, 2024 |
| Last updated in NPPES | Dec 17, 2025 |
| Certified by provider | Dec 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | 7971 | SC |
| Audiologist-Hearing Aid Fitter | 237600000X | 7971 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (SC) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Qualified Audiologist |
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