Active NPI
Jill K Hawkins, AU.D.,CCC-A
- Specialist
- Weirton, WV
National Provider Identifier
1043378649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A-0149
- Practice address
- 206 Three Springs Dr
Suite 1
Weirton, WV 26062-3848 - Phone
- (304) 914-4009
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | A-0149 | WV | Primary |
Addresses
Primary practice location
206 Three Springs Dr
Suite 1
Weirton, WV 26062-3848
Mailing address
206 Three Springs Dr
Suite 1
Weirton, WV 26062-3848
Phone (304) 914-4009
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 848826 | Other | WV | CIGNA |
| 0007786855 | Other | WV | AETNA |
| 001708604 | Other | WV | BLUE CROSS BLUE SHIELD |
| 3810006132 | Medicaid | WV | |
| AUD800 | Other | WV | HEALTH PLAN OF UPPER OHIO |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-0149 | WV | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-State Audiology LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Audiologist
- Weirton, WV
- NPI 1528084704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481068800000",
"number": "1043378649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 THREE SPRINGS DR",
"address_2": "SUITE 1",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260623848",
"telephone_number": "304-914-4009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 THREE SPRINGS DR",
"address_2": "SUITE 1",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260623848",
"telephone_number": "304-914-4009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "JILL",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "AU.D.,CCC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2016-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WV",
"license": "A-0149",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "848826",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0007786855",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "001708604",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810006132",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN OF UPPER OHIO",
"identifier": "AUD800",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Weirton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.