Individual provider Active NPI

Jenna Holke Raymond, AU.D.

  • Audiologist
  • Chapel Hill, NC
National Provider Identifier
1023458031
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
002472-1 Issued in NY
Practice address
2226 Nelson Hwy Ste 102
Chapel Hill, NC 27517-9638
Phone
(984) 974-2141
NPI assigned
Jul 5, 2013
Last updated
Feb 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 002472-1 NY Primary

Addresses

Primary practice location

2226 Nelson Hwy Ste 102
Chapel Hill, NC 27517-9638

Mailing address

2226 Nelson Hwy Ste 102
Chapel Hill, NC 27517-9638
Phone (984) 974-2141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210825000946 NC Practitioner - Qualified Audiologist 4981835923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aim Hearing and Audiology Service, PCGroup PAC ID 3971637497, 6 clinicians

Practice addresses (Care Compare)

529 College Rd B
Greensboro, NC 27410-5164
Phone (336) 294-9617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002472-1NYMDOccupational Therapy Assistant
002472NYMDDance Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aim Hearing and Audiology Service, PC Audiologist CurrentSince Aug 23, 2021 Accepting new patients

Locations

529 College Rd
Ste B
Greensboro, NC 27410
Phone (336) 294-9617

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1023458031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 NELSON HWY STE 102",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275179638",
            "telephone_number": "984-974-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 NELSON HWY STE 102",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275179638",
            "telephone_number": "984-974-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "JENNA",
        "middle_name": "HOLKE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-05",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002472-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.