Individual provider Active NPI

Jennifer Ann Whittaker, AUD

  • Audiologist
  • Collegeville, PA
National Provider Identifier
1275167603
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
006666 Issued in PA
Practice address
555 Second Ave Ste D-204
Collegeville, PA 19426-3642
Phone
(610) 454-1177
NPI assigned
Feb 25, 2020
Last updated
Feb 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 006666 PA Primary

Addresses

Primary practice location

555 Second Ave Ste D-204
Collegeville, PA 19426-3642

Mailing address

2116 Perch Way
Quakertown, PA 18951-2731
Phone (201) 983-7961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210201001275 PA Practitioner - Qualified Audiologist 8426462581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Center for Audiology Services Inc.Group PAC ID 3971766072, 3 clinicians
Collegeville Speech and Hearing, LLCGroup PAC ID 1759562465, 4 clinicians

Practice addresses (Care Compare)

2591 Baglyos Cir
Suite C48
Bethlehem, PA 18020-8058
Phone (610) 866-2929

555 2ND Ave
Suite D 204
Collegeville, PA 19426-3642
Phone (610) 454-1177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006666PAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Audiology Services Inc. Audiologist CurrentSince Mar 9, 2026 Accepting new patients
Collegeville Speech and Hearing, LLC Audiologist CurrentSince Jan 1, 2021 Accepting new patients

Locations

2591 Baglyos Cir
Ste C48
Bethlehem, PA 18020
Phone (484) 821-0520

555 Second Ave
Ste C-850
Collegeville, PA 19426
Phone (610) 454-1177

555 Second Ave
Ste D-204
Collegeville, PA 19426
Phone (610) 454-1177

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": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1275167603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 PERCH WAY",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189512731",
            "telephone_number": "201-983-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SECOND AVE STE D-204",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263642",
            "telephone_number": "610-454-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "006666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collegeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.