Individual provider Active NPI

Jennifer R Schryer, AUD

  • Audiologist
  • Glenwood Springs, CO
National Provider Identifier
1083886550
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
340 Issued in CO
Practice address
1100 Mount Sopris Dr
Glenwood Springs, CO 81601
Phone
(720) 352-9652
NPI assigned
Mar 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 340 CO Primary

Addresses

Primary practice location

1100 Mount Sopris Dr
Glenwood Springs, CO 81601

Mailing address

1100 Mount Sopris Dr
Glenwood Springs, CO 81601-4606
Phone (720) 352-9652

Other practice location 1

12078 Locust Ct
Brighton, CO 80602-4620
Phone (720) 352-9652

Other identifiers 2

IdentifierTypeStateIssuer
00572861MedicaidCO
340OtherCODIVISION OF REGISTRATION, AUDIOLOGIST

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

LicenseStateTypeSpecialty
340COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1083886550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MOUNT SOPRIS DR",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014606",
            "telephone_number": "720-352-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MOUNT SOPRIS DR",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "81601",
            "telephone_number": "720-352-9652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12078 Locust Ct",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "CO",
            "postal_code": "806024620",
            "country_code": "US",
            "telephone_number": "720-352-9652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHRYER",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-25",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00572861",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIVISION OF REGISTRATION, AUDIOLOGIST",
            "identifier": "340",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.