Organization Active NPI

Jacqueline Hartman Inc

Doing business as Ellisville Hearing Center and Hearing Center of Kirkwood

  • Audiologist-Hearing Aid Fitter
  • Ellisville, MO
National Provider Identifier
1053458612
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
536 Issued in MO
Legal business name
JACQUELINE HARTMAN INC
Doing business as
Ellisville Hearing Center and Hearing Center of Kirkwood
Practice address
15991 Manchester Rd
Ellisville, MO 63011-2140
Phone
(636) 394-4240
NPI assigned
Jan 31, 2007
Last updated
Jun 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

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

Authorized official

Name
Ms. Jacqueline Scott Hartman, M.A.,CCCNPI 1356488092
Title
President
Phone
(636) 394-4240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 536 MO
Assistive Technology Practitioner Audiologist 231HA2400X 536 MO
Assistive Technology Supplier Audiologist 231HA2500X 536 MO
Speech-Language Pathologist 235Z00000X 536 MO
Audiologist-Hearing Aid Fitter 237600000X 536 MO Primary
Hearing Instrument Specialist 237700000X 624 MO

Addresses

Primary practice location

15991 Manchester Rd
Ellisville, MO 63011-2140

Mailing address

15991 Manchester Rd
Ellisville, MO 63011-2140
Phone (636) 394-4240

Other identifiers 1

IdentifierTypeStateIssuer
337894109MedicaidMO

Other names 1

  • Ellisville Hearing Center and Hearing Center of Kirkwood Doing business as

National Provider Directory

National Provider Directory

Locations

15991 Manchester Rd
Ste C
Ellisville, MO 63011
Phone (636) 394-4240

8780 Big Bend Blvd
Ste A
Saint Louis, MO 63119
Phone (314) 764-2200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1053458612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15991 MANCHESTER RD",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112140",
            "telephone_number": "636-394-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15991 MANCHESTER RD",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112140",
            "telephone_number": "636-394-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE HARTMAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-394-4240",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A.,CCC"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "536",
            "primary": false
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "MO",
            "license": "536",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "MO",
            "license": "536",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "536",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MO",
            "license": "536",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "624",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337894109",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellisville Hearing Center and Hearing Center of Kirkwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellisville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.