Amy Jacobson LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

AMY JACOBSON LLC

Practice address

1901 Beaser Avenue
Ashland, WI 54806-3604

Phone

(715) 682-9311

Fax

(715) 682-9313

NPI assigned

May 6, 2021

Organization subpart

No

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

Authorized official

Name

Amy A Jacobson, AUDNPI 1134532245

Title

Audiologist, Owner

Phone

(715) 682-9311

Specialties & licenses 2

Addresses

Other names 1

• Ashland Audiology Doing business as

Medicare fee-for-service enrollment

Enrolled in MI, WI2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Jacobson, AUD

  • Audiologist
  • Ashland, WI
  • NPI 1134532245

  Audiologist, MI, WI

  Medicare reassignment NPD Authorized official
• Lori Lynn Anderson, HIS

  • Hearing Instrument Specialist
  • Ashland, WI
  • NPI 1982200192
  NPD

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1174107288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 BEASER AVENUE",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548063604",
            "telephone_number": "715-682-9311",
            "fax_number": "715-682-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 BEASER AVENUE",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548063604",
            "telephone_number": "715-682-9311",
            "fax_number": "715-682-9313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N10565 Grandview Ln",
            "address_purpose": "LOCATION",
            "city": "Ironwood",
            "state": "MI",
            "postal_code": "499389622",
            "country_code": "US",
            "telephone_number": "715-682-9311",
            "fax_number": "715-682-9313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11040 N State Road 77",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "WI",
            "postal_code": "548433606",
            "country_code": "US",
            "telephone_number": "715-682-9311",
            "fax_number": "715-682-9313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMY JACOBSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUDIOLOGIST, OWNER",
        "authorized_official_telephone_number": "715-682-9311",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashland Audiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ashland Audiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kari Lea Adler, COTA
• Enrique Amin Africano, MD
• Sean Akerman, LPC
• Carrie L Alajoki, DNP, MSN, APNP
• Elvis Amandoh
• Geneva Anderson, SAC
• Ila Anderson, RPH
• Jane Wiedmeyer Anderson, SLP
• Lori Lynn Anderson, HIS
• Mary Ann Anderson, MD

• All providers in Ashland, WI
• Audiologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.