Individual provider Active NPI

Jenna Leigh Spegele, AU.D.

  • Audiologist
  • Olympia, WA
National Provider Identifier
1356909121
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
128 Lilly Rd NE Ste 202
Olympia, WA 98506-7400
Phone
(360) 357-6314
NPI assigned
Jun 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X WA
Audiologist 231H00000X WA Primary

Addresses

Primary practice location

128 Lilly Rd NE Ste 202
Olympia, WA 98506-7400

Mailing address

10302 20TH St E Apt B205
Edgewood, WA 98372-1437
Phone (317) 753-3423

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

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1356909121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10302 20TH ST E APT B205",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983721437",
            "telephone_number": "317-753-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 LILLY RD NE STE 202",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985067400",
            "telephone_number": "360-357-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEGELE",
        "first_name": "JENNA",
        "middle_name": "LEIGH",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.