Active NPI
Jennifer Ann Klimczak, AUD
- Audiologist-Hearing Aid Fitter
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AU3124
- Practice address
- 1555 River Park Dr Ste 206L
Sacramento, CA 95815-4604 - Phone
- (916) 921-6023
- Fax
- (916) 921-1492
- NPI assigned
- Sep 4, 2014
- 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-Hearing Aid Fitter | 237600000X | HT9090 | CA | |
| Audiologist-Hearing Aid Fitter | 237600000X | AU3124 | CA | Primary |
Addresses
Primary practice location
1555 River Park Dr Ste 206L
Sacramento, CA 95815-4604
Mailing address
215 Shuman Blvd Ste 401
Naperville, IL 60563-8123
Phone (630) 303-5380
Other practice location 1
807 Douglas Blvd Ste 100
Roseville, CA 95678-2763
Phone (916) 773-9148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU3124 | CA | MD | Audiologist-Hearing Aid Fitter |
| HT9090 | CA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect Hearing, Inc. | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Connect Hearing, Inc. | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Connect Hearing, Inc. | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Connect Hearing, Inc. | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Connect Hearing, Inc. | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Connect Hearing, Inc. | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
Organizations & group practices 6
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.
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- NPI 1558606582
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- NPI 1710238035
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- NPI 1992058648
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525132800000",
"number": "1194126524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 SHUMAN BLVD STE 401",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605638123",
"telephone_number": "630-303-5380",
"fax_number": "630-303-5385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 RIVER PARK DR STE 206L",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958154604",
"telephone_number": "916-921-6023",
"fax_number": "916-921-1492"
}
],
"practiceLocations": [
{
"address_1": "807 Douglas Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Roseville",
"state": "CA",
"postal_code": "956782763",
"country_code": "US",
"telephone_number": "916-773-9148",
"fax_number": "916-773-9150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLIMCZAK",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-04",
"last_updated": "2018-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "HT9090",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "AU3124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.