Individual provider Active NPI

Jill Lynnette Nesham, AU.D.

  • Audiologist
  • Cedar Rapids, IA
National Provider Identifier
1154332484
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
00533 Issued in IA
Practice address
1500 Center St NE Ste 102
Cedar Rapids, IA 52402-5500
Phone
(319) 393-4673
Fax
(319) 200-4068
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147-001177 IL
Hearing Instrument Specialist 237700000X 814 IA
Audiologist 231H00000X 00533 IA Primary

Addresses

Primary practice location

1500 Center St NE Ste 102
Cedar Rapids, IA 52402-5500

Mailing address

1500 Center St NE Ste 102
Cedar Rapids, IA 52402-5500
Phone (319) 393-4673

Other identifiers 1

IdentifierTypeStateIssuer
1448704MedicaidIA

Other names 1

  • Jill Lynnette Belski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051010000765 IA Practitioner - Qualified Audiologist 1658396510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00533IAMDOccupational Therapist
147-001177ILMDAudiologist
814IAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Quad Cities Audiology Consultants, P.C. Audiologist PastSince May 7, 2001 Accepting new patients
Iowa Audiology & Hearing Aid Centers Inc Audiologist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1154332484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 CENTER ST NE STE 102",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025500",
            "telephone_number": "319-393-4673",
            "fax_number": "319-200-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CENTER ST NE STE 102",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025500",
            "telephone_number": "319-393-4673",
            "fax_number": "319-200-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESHAM",
        "first_name": "JILL",
        "middle_name": "LYNNETTE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147-001177",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IA",
            "license": "814",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": "00533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1448704",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "BELSKI",
            "middle_name": "LYNNETTE",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.