Active NPI
Jacob Regner, H.I.S.
- Hearing Instrument Specialist
- Eau Claire, WI
National Provider Identifier
1073056339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1511-60
- Practice address
- 1802 Galloway St
Eau Claire, WI 54703-3467 - Phone
- (715) 831-8966
- NPI assigned
- Nov 18, 2016
- Sex
- Male
- Sole proprietor
- No
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 | 1511-60 | WI | Primary |
Addresses
Primary practice location
1802 Galloway St
Eau Claire, WI 54703-3467
Mailing address
1802 Galloway St
Valley Hearing,
Eau Claire, WI 54703
Phone (715) 831-8966
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 |
|---|---|---|---|
| 1511-60 | WI | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479427200000",
"number": "1073056339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 GALLOWAY ST",
"address_2": "VALLEY HEARING,",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "54703",
"telephone_number": "715-831-8966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 GALLOWAY ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547033467",
"telephone_number": "715-831-8966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGNER",
"first_name": "JACOB",
"credential": "H.I.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-18",
"last_updated": "2016-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "WI",
"license": "1511-60",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.