Jessica J Vanderfeen, AU.D., CCC-A
Individual provider Active NPI Audiologist · Bristol, CT
NPI 1083744320 · NPPES record last updated Jun 27, 2025
Key facts
- NPI
- 1083744320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 000351 (CT)
- Practice address
- 440 N Main St
Ste C
Bristol, CT 06010 - Phone
- (860) 893-1977
- Fax
- (860) 845-5330
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000351 | CT | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CT Ears, LLC | Audiologist | Current |
Accepting new patients |
| American School for the Deaf | Audiologist | Past |
Accepting new patients |
| Early Childhood Service - American School for the Deaf | Past |
Accepting new patients |
Locations
440 N Main St
Ste C
Bristol, CT 06010
Phone (860) 583-5858
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | |||
| Audiologist | 231H00000X | 000351 | CT | Yes |
Addresses
Primary practice location
440 N Main St
Ste C
Bristol, CT 06010
Mailing address
440 N Main St
Ste C
Bristol, CT 06010
Phone (860) 570-2318
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004207644 | Medicaid | CT | |
| 11220528 | Other | CT | CAQH |
Other providers in Bristol, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.