Individual provider Active NPI

Jacquelyn Nicole Baumgartner, HAD

  • Hearing Instrument Specialist
  • Burbank, CA
National Provider Identifier
1225544927
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA8290 Issued in CA
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, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
HA8290CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Adapt Hearing Inc Past Accepting new patients
Serendipity Hearing Inc Hearing Instrument Specialist PastSince Feb 23, 2011 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.

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.

Verify at the official NPI Registry.