Active NPI
Jennifer Dawn Waddell, HIS
- Hearing Instrument Specialist
- Simpsonville, SC
National Provider Identifier
1275903676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HAS-0524
- Practice address
- 857 NE Main St
Simpsonville, SC 29681-2041 - Phone
- (864) 881-1663
- Fax
- (864) 751-7524
- NPI assigned
- Sep 29, 2015
- Last updated
- Sep 29, 2015
- 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 | HAS-0524 | SC | Primary |
Addresses
Primary practice location
857 NE Main St
Simpsonville, SC 29681-2041
Mailing address
PO Box 80623
Simpsonville, SC 29680-0011
Phone (864) 881-1663
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 |
|---|---|---|---|
| HAS-0524 | SC | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Hearing Care, LLC | Hearing Instrument Specialist | Current | Accepting new patients |
Locations
857 NE Main St
Simpsonville, SC 29681
Phone (843) 254-5579
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sound Hearing Care
- Hearing Instrument Specialist
- Simpsonville, SC
- NPI 1346619574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443484800000",
"number": "1275903676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80623",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296800011",
"telephone_number": "864-881-1663",
"fax_number": "864-751-7524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "857 NE MAIN ST",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296812041",
"telephone_number": "864-881-1663",
"fax_number": "864-751-7524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADDELL",
"first_name": "JENNIFER",
"middle_name": "DAWN",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-29",
"last_updated": "2015-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "SC",
"license": "HAS-0524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Simpsonville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.