Individual provider Active NPI

Jennifer U Hausladen, AUD

  • Audiologist
  • Powell, TN
National Provider Identifier
1053649236
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1275 Issued in TN
Practice address
7557 Dannaher Way
Suite 210
Powell, TN 37849-3558
Phone
(865) 521-8050
Fax
(865) 971-3509
NPI assigned
Nov 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1275 TN Primary

Addresses

Primary practice location

7557 Dannaher Way
Suite 210
Powell, TN 37849-3558

Mailing address

7557 Dannaher Way
Suite 210
Powell, TN 37849-3558
Phone (865) 521-8050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120822000378 TN Practitioner - Qualified Audiologist 2961659230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Florida College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of TennesseeGroup PAC ID 3072421213, 64 clinicians

Practice addresses (Care Compare)

600 Henley St
Suite 213
Knoxville, TN 37996-4502
Phone (865) 974-5453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1275TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
University of Tennessee Audiologist CurrentSince Jun 2, 2012 Accepting new patients
University of Tennessee Current Accepting new patients
University of Tennessee CurrentSince Jun 2, 2012 Accepting new patients
Greater Knoxville Ear, Nose and Throat Associates, PC Past Accepting new patients

Locations

600 Henley St
Ste 213
Knoxville, TN 37996
Phone (865) 974-5453

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1053649236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7557 DANNAHER WAY",
            "address_2": "SUITE 210",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378493558",
            "telephone_number": "865-521-8050",
            "fax_number": "865-971-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7557 DANNAHER WAY",
            "address_2": "SUITE 210",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378493558",
            "telephone_number": "865-521-8050",
            "fax_number": "865-971-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSLADEN",
        "first_name": "JENNIFER",
        "middle_name": "U",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "1275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.