Active NPI
Trisha Nicole Jack, HIS
- Hearing Instrument Specialist
- Beaver, PA
National Provider Identifier
1194590067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- F03919
- Practice address
- 195 Boundry LN
Beaver, PA 15009-2992 - Phone
- (724) 775-4327
- NPI assigned
- Nov 20, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | F03919 | PA | Primary |
Addresses
Primary practice location
195 Boundry LN
Beaver, PA 15009-2992
Mailing address
195 Boundry LN
Beaver, PA 15009-2992
Phone (724) 775-4327
Other practice location 1
1022 N Main Street Ext Ste 100
Butler, PA 16001-1961
Phone (724) 282-8491
Other names 1
- Trisha Nicole Perine
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F03919 | PA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Services Company USA, LLC | Hearing Instrument Specialist | Past | Accepting new patients |
| Rem Audiology Associates, P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Audiologist-Hearing Aid Fitter
- Philadelphia, PA
- NPI 1124072665
-
- Hearing and Speech Clinic/Center
- Somerset, NJ
- NPI 1033585302
Hearing Instrument Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1194590067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 BOUNDRY LN",
"city": "BEAVER",
"state": "PA",
"postal_code": "150092992",
"telephone_number": "724-775-4327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 BOUNDRY LN",
"city": "BEAVER",
"state": "PA",
"postal_code": "150092992",
"telephone_number": "724-775-4327"
}
],
"practiceLocations": [
{
"address_1": "1022 N Main Street Ext Ste 100",
"address_purpose": "LOCATION",
"city": "Butler",
"state": "PA",
"postal_code": "160011961",
"country_code": "US",
"telephone_number": "724-282-8491",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACK",
"first_name": "TRISHA",
"middle_name": "NICOLE",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-20",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "PA",
"license": "F03919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRISHA",
"last_name": "PERINE",
"middle_name": "NICOLE",
"credential": "HIS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Beaver, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.