Active NPI
Jacquelyn Nicole Baumgartner, HAD
- Hearing Instrument Specialist
- Burbank, CA
National Provider Identifier
1225544927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HA8290
- Practice address
- 3808 W Riverside Dr Ste 402
Burbank, CA 91505-5301 - Phone
- (818) 842-4069
- Fax
- (818) 848-1616
- NPI assigned
- Dec 18, 2017
- Last updated
- Dec 18, 2017
- 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 | HA8290 | CA | Primary |
Addresses
Primary practice location
3808 W Riverside Dr Ste 402
Burbank, CA 91505-5301
Mailing address
5555 Garden Grove Blvd Ste 200
Westminster, CA 92683-8234
Phone (714) 898-5732
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 |
|---|---|---|---|
| HA8290 | CA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adapt Hearing Inc | Past | Accepting new patients | |
| Serendipity Hearing Inc | Hearing Instrument Specialist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sonus Hearing Care Professionals
- Hearing Aid Equipment
- Westminister, CA
- NPI 1760783344
Hearing Instrument Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513555200000",
"number": "1225544927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 GARDEN GROVE BLVD STE 200",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926838234",
"telephone_number": "714-898-5732",
"fax_number": "714-901-4058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3808 W RIVERSIDE DR STE 402",
"city": "BURBANK",
"state": "CA",
"postal_code": "915055301",
"telephone_number": "818-842-4069",
"fax_number": "818-848-1616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMGARTNER",
"first_name": "JACQUELYN",
"middle_name": "NICOLE",
"credential": "HAD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-18",
"last_updated": "2017-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "HA8290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.