Individual provider Active NPI

Jaime Clarise Avenall

  • Hearing Instrument Specialist
  • Duluth, MN
National Provider Identifier
1245973783
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
Practice address
2216 Mountain Shadow Dr
Duluth, MN 55811-3838
Phone
(218) 722-6611
Fax
(800) 856-4807
NPI assigned
Apr 13, 2022
Last updated
Apr 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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 NU Primary

Addresses

Primary practice location

2216 Mountain Shadow Dr
Duluth, MN 55811-3838

Mailing address

2216 Mountain Shadow Dr
Duluth, MN 55811-3838
Phone (218) 722-6611

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

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC Hearing Instrument Specialist Past Accepting new patients
Audiology Services Company USA, LLC PastSince Apr 17, 2022 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": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1245973783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 MOUNTAIN SHADOW DR",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558113838",
            "telephone_number": "218-722-6611",
            "fax_number": "800-856-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 MOUNTAIN SHADOW DR",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558113838",
            "telephone_number": "218-722-6611",
            "fax_number": "800-856-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVENALL",
        "first_name": "JAIME",
        "middle_name": "CLARISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.