Individual provider Active NPI

Julie Lynn Jendrasiak, HAD

  • Hearing Instrument Specialist
  • Grand Rapids, MI
National Provider Identifier
1376331074
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
3501004961 Issued in MI
Practice address
4600 Forest Hill CT SE
Grand Rapids, MI 49546-2389
Phone
(616) 581-0761
NPI assigned
Apr 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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 3501004961 MI Primary

Addresses

Primary practice location

4600 Forest Hill CT SE
Grand Rapids, MI 49546-2389

Mailing address

833 Kenmoor Ave SE Ste G
Grand Rapids, MI 49546-2390
Phone (616) 581-0761

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

LicenseStateTypeSpecialty
3501004961MIMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Affordable Hearing Clinic Hearing Instrument Specialist PastSince May 4, 2025 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1376331074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 KENMOOR AVE SE STE G",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462390",
            "telephone_number": "616-581-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 FOREST HILL CT SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462389",
            "telephone_number": "616-581-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENDRASIAK",
        "first_name": "JULIE",
        "middle_name": "LYNN",
        "credential": "HAD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MI",
            "license": "3501004961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.