Individual provider Active NPI

Jessica R Harvey, AUD

  • Audiologist
  • Columbus, IN
National Provider Identifier
1215505086
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002752A Issued in IN
Practice address
3105 Middle Rd Ste B
Columbus, IN 47203-4472
Phone
(812) 372-1886
Fax
(812) 372-8156
NPI assigned
Jun 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Practitioner Audiologist 231HA2400X 23002752A IN
Assistive Technology Supplier Audiologist 231HA2500X 23002752A IN
Audiologist 231H00000X 23002752A IN Primary

Addresses

Primary practice location

3105 Middle Rd Ste B
Columbus, IN 47203-4472

Mailing address

3105 Middle Rd Ste B
Columbus, IN 47203-4472
Phone (812) 372-1886

Other practice location 1

905 W Keegans Way Ste 11
Greensburg, IN 47240-3403
Phone (812) 663-5163

Other identifiers 1

IdentifierTypeStateIssuer
23002752AOtherINSTATE LICENSE

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tree City Hearing LLC CurrentSince Aug 6, 2023 Accepting new patients

Locations

905 W Keegans Way
Ste 11
Greensburg, IN 47240
Phone (812) 663-5153

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1215505086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 MIDDLE RD STE B",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472034472",
            "telephone_number": "812-372-1886",
            "fax_number": "812-372-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 MIDDLE RD STE B",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472034472",
            "telephone_number": "812-372-1886",
            "fax_number": "812-372-8156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 W Keegans Way Ste 11",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "IN",
            "postal_code": "472403403",
            "country_code": "US",
            "telephone_number": "812-663-5163",
            "fax_number": "812-663-2732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "JESSICA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "IN",
            "license": "23002752A",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "IN",
            "license": "23002752A",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002752A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "23002752A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.