Active NPI
Jonathan Hersey
- Hearing Instrument Specialist
- Richmond, IN
National Provider Identifier
1063643161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 17001260A
- Practice address
- 1714 National Rd W
Richmond, IN 47374-3864 - Phone
- (765) 373-8105
- Fax
- (765) 373-8104
- NPI assigned
- Aug 6, 2009
- Last updated
- Apr 21, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 17001260A | IN | Primary |
Addresses
Primary practice location
1714 National Rd W
Richmond, IN 47374-3864
Mailing address
1714 National Rd W
Richmond, IN 47374-3864
Phone (765) 373-8105
Other practice location 1
360A N Mount Zion Rd
Lebanon, IN 46052-8330
Phone (765) 482-7744
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17001260A | IN | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1063643161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1714 NATIONAL RD W",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473743864",
"telephone_number": "765-373-8105",
"fax_number": "765-373-8104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1714 NATIONAL RD W",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473743864",
"telephone_number": "765-373-8105",
"fax_number": "765-373-8104"
}
],
"practiceLocations": [
{
"address_1": "360A N Mount Zion Rd",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "IN",
"postal_code": "460528330",
"country_code": "US",
"telephone_number": "765-482-7744",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERSEY",
"first_name": "JONATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-06",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IN",
"license": "17001260A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.