Active NPI
Kristin Jollie, M.A.
- Audiologist-Hearing Aid Fitter
- Coventry, RI
National Provider Identifier
1093962169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- Practice address
- 674 Centre of New England Blvd
Coventry, RI 02816-6081 - Phone
- (401) 822-0423
- Fax
- (401) 822-0862
- NPI assigned
- Aug 20, 2008
- Last updated
- Jan 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD00164 | RI | |
| Audiologist-Hearing Aid Fitter | 237600000X | RI | Primary | |
| Hearing Instrument Specialist | 237700000X | RI |
Addresses
Primary practice location
674 Centre of New England Blvd
Coventry, RI 02816-6081
Mailing address
8800 SE Sunnyside Rd Ste 300N
Clackamas, OR 97015-5703
Phone (281) 286-2999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U400178206 | Other | RI | MEDICARE |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AUD00164 | RI | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northland Hearing Center, Inc. | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
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.
-
dba Ascent Audiology & Hearing
- Hearing and Speech Clinic/Center
- Coventry, RI
- NPI 1073915211
Audiologist-Hearing Aid Fitter
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516060800000",
"number": "1093962169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8800 SE SUNNYSIDE RD STE 300N",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155703",
"telephone_number": "281-286-2999",
"fax_number": "512-607-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "674 CENTRE OF NEW ENGLAND BLVD",
"city": "COVENTRY",
"state": "RI",
"postal_code": "028166081",
"telephone_number": "401-822-0423",
"fax_number": "401-822-0862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOLLIE",
"first_name": "KRISTIN",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-20",
"last_updated": "2018-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "RI",
"license": "AUD00164",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "RI",
"license": null,
"primary": true
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "RI",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "U400178206",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coventry, RI
- Jamie Michele Italiane-Decubellis, DDS
- Ellen I Jaedicke, LMT, NCTMB, AA
- Jamie Italiane-Decubellis DDS and Assoc. Inc
- Jacques Ira Jewell, LCSW
- Joanne C. Lewis Pediatric Dentistry, LLC (Children's Dentistry of Coventry)
- Lori A. Jones, MSW, LICSW
- Steven R Joubert, LMHC
- Tina Kanaczet, MS
- Kristen Elizabeth Kane, PA
- Michelle Elizabeth Kane, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.