Active NPI
Jacqueline Hartman Inc
Doing business as Ellisville Hearing Center and Hearing Center of Kirkwood
- Audiologist-Hearing Aid Fitter
- Ellisville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 536
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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.,CCC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 337894109 | Medicaid | MO |
Other names 1
- Ellisville Hearing Center and Hearing Center of Kirkwood
National Provider Directory
National Provider DirectoryLocations
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.
-
- Audiologist
- Ellisville, MO
- NPI 1356488092
-
- Hearing Instrument Specialist
- Ellisville, MO
- NPI 1962729616
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.