Individual provider Active NPI

Jillian Stevens

  • Hearing Instrument Specialist
  • Watertown, WI
National Provider Identifier
1144600511
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
1437-60 Issued in WI
Practice address
123 Hospital Dr
Ste 112
Watertown, WI 53098-3331
Phone
(920) 261-7024
Fax
(920) 261-2297
NPI assigned
Jun 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 1437-60 WI Primary

Addresses

Primary practice location

123 Hospital Dr
Ste 112
Watertown, WI 53098-3331

Mailing address

215 Shuman Blvd
Ste 401
Naperville, IL 60563-8458
Phone (630) 303-5380

Other practice location 1

888 Thackeray Trl Ste 107
Oconomowoc, WI 53066-4342
Phone (262) 567-7639

Other practice location 2

N4W22370 Bluemound Rd Ste 202A
Waukesha, WI 53186-1683
Phone (262) 547-2227

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
1437-60WIMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1144600511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SHUMAN BLVD",
            "address_2": "STE 401",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638458",
            "telephone_number": "630-303-5380",
            "fax_number": "978-313-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HOSPITAL DR",
            "address_2": "STE 112",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530983331",
            "telephone_number": "920-261-7024",
            "fax_number": "920-261-2297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 Thackeray Trl Ste 107",
            "address_purpose": "LOCATION",
            "city": "Oconomowoc",
            "state": "WI",
            "postal_code": "530664342",
            "country_code": "US",
            "telephone_number": "262-567-7639",
            "fax_number": "262-567-7476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "N4W22370 Bluemound Rd Ste 202A",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531861683",
            "country_code": "US",
            "telephone_number": "262-547-2227",
            "fax_number": "262-547-5222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "JILLIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WI",
            "license": "1437-60",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.