Individual provider Active NPI

Jill E Benner, AUD

  • Audiologist
  • Pittsburgh, PA
National Provider Identifier
1154656874
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT006143 Issued in PA
Practice address
9104 Babcock Blvd
Suite 3112
Pittsburgh, PA 15237-5818
Phone
(412) 366-3471
Fax
(412) 348-0150
NPI assigned
Oct 14, 2009
Last updated
Aug 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT006143 PA Primary
Speech/Language/Hearing Specialist/Technologist 235500000X AT006143 PA
Audiologist-Hearing Aid Fitter 237600000X AT006143 PA
Hearing Instrument Specialist 237700000X AT006143 PA

Addresses

Primary practice location

9104 Babcock Blvd
Suite 3112
Pittsburgh, PA 15237-5818

Mailing address

9800B McKnight Rd
Suite 130
Pittsburgh, PA 15237-6020
Phone (412) 366-5278

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130315000032 PA Practitioner - Qualified Audiologist 8820233182 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT006143PAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Accuquest Hearing Center, LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1154656874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800B MCKNIGHT RD",
            "address_2": "SUITE 130",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152376020",
            "telephone_number": "412-366-5278",
            "fax_number": "412-364-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9104 BABCOCK BLVD",
            "address_2": "SUITE 3112",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375818",
            "telephone_number": "412-366-3471",
            "fax_number": "412-348-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNER",
        "first_name": "JILL",
        "middle_name": "E",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-14",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006143",
            "primary": true
        },
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "PA",
            "license": "AT006143",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "PA",
            "license": "AT006143",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "PA",
            "license": "AT006143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.