Active NPI
Jonathan Wayne James, HEARING AID DEALER
- Audiologist-Hearing Aid Fitter
- Vincennes, IN
National Provider Identifier
1013425339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 770019588
- Practice address
- 601 N 15 1/2 Street
Vincennes, IN 47591-4759 - Phone
- (812) 882-4715
- Fax
- (812) 882-4922
- NPI assigned
- Jan 22, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 770019588 | IN | Primary |
Addresses
Primary practice location
601 N 15 1/2 Street
Vincennes, IN 47591-4759
Mailing address
601 N 15TH 1/2 St
Vincennes, IN 47591-5607
Phone (812) 882-4715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17001169A | Other | IN | INDIANA PROFESSIONAL LICENSING AGENCY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 770019588 | IN | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516579200000",
"number": "1013425339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 N 15TH 1/2 ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475915607",
"telephone_number": "812-882-4715",
"fax_number": "812-882-4922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N 15 1/2 STREET",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475914759",
"telephone_number": "812-882-4715",
"fax_number": "812-882-4922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "JONATHAN",
"middle_name": "WAYNE",
"credential": "HEARING AID DEALER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-22",
"last_updated": "2018-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "IN",
"license": "770019588",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA PROFESSIONAL LICENSING AGENCY",
"identifier": "17001169A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.