Jan C Hankerson, MS CCCA FAAA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

20434 Issued in OR

Practice address

429 SE Marlin Ave
Ste a
Warrenton, OR 97146-9649

Phone

(503) 861-3235

Fax

(503) 861-3235

NPI assigned

Dec 6, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Bayside Audiology LLC

  • Audiologist
  • Warrenton, OR
  • NPI 1639806003
  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1376527994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 SE MARLIN AVE",
            "address_2": "STE A",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971469649",
            "telephone_number": "503-861-3235",
            "fax_number": "503-861-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 SE MARLIN AVE",
            "address_2": "STE A",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971469649",
            "telephone_number": "503-861-3235",
            "fax_number": "503-861-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKERSON",
        "first_name": "JAN",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MS CCCA FAAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OR",
            "license": "HASP584193",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "20434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018999",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Graybeal
• Marina Grozina, BS
• Heather Guthrie, LCSW, LICSW, QMHP
• Nikkie Hall
• Robert Page Hamilton, O.D.
• Sean Hankins
• Vincent Lee Hankins
• Harlan Medical Services LLC
• Janel Ann Harlan, CBCS
• Roger Hayes, CADC I

• Audiologist in Warrenton, OR
• Providers in Warrenton, OR by specialty
• Audiologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.