Active NPI
Jane Kristine Bohnenkamp, MA CCCA
- Audiologist-Hearing Aid Fitter
- Waterloo, IA
National Provider Identifier
1366403222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 00872
- Practice address
- 834 W 4 Street
Waterloo, IA 50702 - Phone
- (319) 230-4360
- NPI assigned
- Mar 30, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 00587 | IA | |
| Audiologist-Hearing Aid Fitter | 237600000X | 00872 | IA | Primary |
Addresses
Primary practice location
834 W 4 Street
Waterloo, IA 50702
Mailing address
536 Baker Drive
Cedar Falls, IA 50613
Phone (319) 277-3905
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0457788 | Medicaid | IA |
Other names 1
- Ms. Jane Kristine Crabtree
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00872 | IA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Hearing Unlimited LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Hearing Instrument Specialist
- Waterloo, IA
- NPI 1467448217
-
- Hearing and Speech Clinic/Center
- Eden Prairie, MN
- NPI 1225070667
Audiologist-Hearing Aid Fitter
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1366403222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "536 BAKER DRIVE",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "50613",
"telephone_number": "319-277-3905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "834 W 4 STREET",
"city": "WATERLOO",
"state": "IA",
"postal_code": "50702",
"telephone_number": "319-230-4360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHNENKAMP",
"first_name": "JANE",
"middle_name": "KRISTINE",
"name_prefix": "Mrs.",
"credential": "MA CCCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IA",
"license": "00587",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "IA",
"license": "00872",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0457788",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANE",
"last_name": "CRABTREE",
"middle_name": "KRISTINE",
"prefix": "MS.",
"credential": "MA CCA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.