Individual provider Active NPI

Jeanne C Whisenant, B.S, NBC-HIS

  • Hearing Instrument Specialist
  • Granbury, TX
National Provider Identifier
1285747345
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
50579 Issued in TX
Practice address
3018 E Highway 377
Granbury, TX 76049-7403
Phone
(817) 573-2975
Fax
(817) 573-2875
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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 50579 TX Primary

Addresses

Primary practice location

3018 E Highway 377
Granbury, TX 76049-7403

Mailing address

3018 E Highway 377
Granbury, TX 76049-7403
Phone (817) 573-2975

Other identifiers 2

IdentifierTypeStateIssuer
178289801MedicaidTX
H053146701OtherTXHEARING AID DISPENSER

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
50579TXMDHearing Instrument Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1285747345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 E HIGHWAY 377",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760497403",
            "telephone_number": "817-573-2975",
            "fax_number": "817-573-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 E HIGHWAY 377",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760497403",
            "telephone_number": "817-573-2975",
            "fax_number": "817-573-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHISENANT",
        "first_name": "JEANNE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "B.S, NBC-HIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "50579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178289801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING AID DISPENSER",
            "identifier": "H053146701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.