Heather Jo Jensen, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

308851-4101 Issued in UT

Practice address

Usu Hearing Clinic
1000 Old Main Hill
Logan, UT 84322-1000

Phone

(435) 797-1390

Fax

(435) 797-0221

NPI assigned

Jun 28, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053518563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "USU HEARING CLINIC",
            "address_2": "1000 OLD MAIN HILL",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843221000",
            "telephone_number": "435-797-1390",
            "fax_number": "435-797-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USU HEARING CLINIC",
            "address_2": "1000 OLD MAIN HILL",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843221000",
            "telephone_number": "435-797-1390",
            "fax_number": "435-797-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "HEATHER",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "308851-4101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "876000528062",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenco Prosthetics & Orthotics, LLC
• Alysha K. Jenkins, NNP
• Bret Ira Jenkins
• Jensen Solutions, LLC
• Benjamin Benoni Jensen, D.C.
• Mona Louise Jensen, CNA
• Randy Lamar Jensen
• Shani Lee Jensen, LCSW
• Steven Reed Jensen, AUD
• Stewart Wayne Jensen, D.D.S.

• Audiologist in Logan, UT
• Providers in Logan, UT by specialty
• Audiologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.