Active NPI
Julie Lynn Jendrasiak, HAD
- Hearing Instrument Specialist
- Grand Rapids, MI
National Provider Identifier
1376331074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 3501004961
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3501004961 | MI | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affordable Hearing Clinic | Hearing Instrument Specialist | Past | 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.
-
- Hearing Instrument Specialist
- Grand Rapids, MI
- NPI 1841792660
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.