Active NPI
Jill Lynnette Nesham, AU.D.
- Audiologist
- Cedar Rapids, IA
National Provider Identifier
1154332484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 00533
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1448704 | Medicaid | IA |
Other names 1
- Jill Lynnette Belski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051010000765 | IA | Practitioner - Qualified Audiologist | 1658396510 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00533 | IA | MD | Occupational Therapist |
| 147-001177 | IL | MD | Audiologist |
| 814 | IA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quad Cities Audiology Consultants, P.C. | Audiologist | Past | 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.
-
- Audiologist
- Coralville, IA
- NPI 1881009116
-
dba Audiology Consultants, P.C.
- Audiologist
- Davenport, IA
- NPI 1982624987
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.