Active NPI
Emily Jernigan, AUD
- Audiologist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 31150
- Practice address
- 9135 SW Barnes Rd Ste 561
Portland, OR 97225-6643 - Phone
- (206) 825-9654
- NPI assigned
- Sep 17, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | LD70018537 | WA | |
| Audiologist | 231H00000X | 31150 | OR | Primary |
Addresses
Primary practice location
9135 SW Barnes Rd Ste 561
Portland, OR 97225-6643
Mailing address
9135 SW Barnes Rd Ste 561
Portland, OR 97225-6643
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO
Pasadena, CA 91110
PO
Suite 4180
Pasadena, CA 91110-4180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31150 | OR | MD | Audiologist |
| LD70018537 | WA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Past | Accepting new patients |
Locations
1510 Division St
Ste 100
Oregon City, OR 97045
Phone (503) 216-6050
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
9135 SW Barnes Rd
Ste 561
Portland, OR 97225
Phone (503) 216-2339
Organizations & group practices 4
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.
-
dba Providence Medical Group
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
dba Providence Medical Group
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1124458914
-
dba Providence Medical Group
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
-
dba Providence Medical Group
- Internal Medicine Physician
- Sherwood, OR
- NPI 1184729329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762473600000",
"number": "1164393583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9135 SW BARNES RD STE 561",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9135 SW BARNES RD STE 561",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256643",
"telephone_number": "206-825-9654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERNIGAN",
"first_name": "EMILY",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-17",
"last_updated": "2025-11-07",
"certification_date": "2025-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "LD70018537",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OR",
"license": "31150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.