Karissa L. Jagacki, AU.D.,CCC-A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

1601000113 Issued in MI

Practice address

35337 Warren Rd
Westland, MI 48185-2013

Phone

(734) 467-5100

Fax

(734) 467-5103

NPI assigned

Sep 15, 2006

Last updated

May 1, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Personalized Hearing Care

  • Audiologist-Hearing Aid Fitter
  • South Lyon, MI
  • NPI 1447591284
  NPD Authorized official
• Personalized Hearing Care

  • Audiologist
  • Westland, MI
  • NPI 1447378773
  Authorized official Same address or phone
• Dennis & David Company

  dba Nursing Home Eyecare Group

  • Optometrist
  • Bingham Farms, MI
  • NPI 1730153982
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1164528246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20956 OAK TREE DR",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481787068",
            "telephone_number": "248-444-0674",
            "fax_number": "734-467-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35337 WARREN RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852013",
            "telephone_number": "734-467-5100",
            "fax_number": "734-467-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGACKI",
        "first_name": "KARISSA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "AU.D.,CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "1601000113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Jackson
• Vanessa L Jackson
• Sarah Jacobi, DPT
• Claire Nicole Jacobs, LMSW
• George Cary Jacobs, RPH
• Pragya Jalukar, RPT
• Abdulhaseeb Khan Jameel, DDS
• James W O'Dell D.C. P.C.
• Jovan Syrece Jamison
• Brieanna Jarrett

• Audiologist-Hearing Aid Fitter in Westland, MI
• Providers in Westland, MI by specialty
• Audiologist-Hearing Aid Fitter in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.