Active NPI
Jayna Griesbach, AU.D.
- Audiologist
- Greenfield, WI
National Provider Identifier
1336403625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 575-156
- Practice address
- 4600 W Loomis Rd Ste 201
Greenfield, WI 53220-4858 - Phone
- (414) 281-4466
- NPI assigned
- Jul 2, 2012
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 575-156 | WI | Primary |
Addresses
Primary practice location
4600 W Loomis Rd Ste 201
Greenfield, WI 53220-4858
Mailing address
3778 N 97TH PL
Milwaukee, WI 53222-2635
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | jgriesbach145933@direct.myadvocateaurora.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120725000848 | WI | Practitioner - Qualified Audiologist | 7416113063 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 575-156 | WI | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637539200000",
"number": "1336403625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3778 N 97TH PL",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532222635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 W LOOMIS RD STE 201",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532204858",
"telephone_number": "414-281-4466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIESBACH",
"first_name": "JAYNA",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-02",
"last_updated": "2021-11-22",
"certification_date": "2021-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WI",
"license": "575-156",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "4600 W Loomis Rd Ste 201",
"city": "Greenfield",
"state": "WI",
"country_code": "US",
"postal_code": "532204858",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jgriesbach145933@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4600 W Loomis Rd Ste 201",
"city": "Greenfield",
"state": "WI",
"country_code": "US",
"postal_code": "532204858",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.