Active NPI
Jenessa Joana Stiles, AUD
- Audiologist
- Du Bois, PA
National Provider Identifier
1073035820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT006511
- Practice address
- 871 Beaver Drive
Dubois, PA 15801-3767 - Phone
- (814) 375-0455
- Fax
- (814) 375-2721
- NPI assigned
- Jul 13, 2017
- Last updated
- Jul 21, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT006511 | PA | Primary |
Addresses
Primary practice location
871 Beaver Drive
Dubois, PA 15801-3767
Mailing address
871 Beaver Drive, PO Box 308
Dubois, PA 15801-0308
Phone (814) 375-0455
Other practice location 1
100 Schuylkill Medical Plz Ste 203
Pottsville, PA 17901-3767
Phone (570) 621-5005
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT006511 | PA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karen R Lemme | Audiologist | Current | Accepting new patients |
Locations
613 Valley View Blvd
Altoona, PA 16602
Phone (814) 889-0310
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1073035820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "871 BEAVER DRIVE, PO BOX 308",
"city": "DUBOIS",
"state": "PA",
"postal_code": "158010308",
"telephone_number": "814-375-0455",
"fax_number": "814-375-2721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "871 BEAVER DRIVE",
"city": "DUBOIS",
"state": "PA",
"postal_code": "158013767",
"telephone_number": "814-375-0455",
"fax_number": "814-375-2721"
}
],
"practiceLocations": [
{
"address_1": "100 Schuylkill Medical Plz Ste 203",
"address_purpose": "LOCATION",
"city": "Pottsville",
"state": "PA",
"postal_code": "179013767",
"country_code": "US",
"telephone_number": "570-621-5005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STILES",
"first_name": "JENESSA",
"middle_name": "JOANA",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT006511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Du Bois, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.