Individual provider Active NPI

Jennifer Volle, HIS

  • Hearing Instrument Specialist
  • Wood River, IL
National Provider Identifier
1396100962
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2995 Issued in IL
Practice address
975 E Edwardsville Rd
Wood River, IL 62095-1823
Phone
(618) 259-0700
Fax
(618) 259-0761
NPI assigned
Dec 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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 2995 IL Primary

Addresses

Primary practice location

975 E Edwardsville Rd
Wood River, IL 62095-1823

Mailing address

975 E Edwardsville Rd
Wood River, IL 62095-1823
Phone (618) 259-0700

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
2995ILMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson'S Auditory Sales & Service, Inc. Hearing Instrument Specialist Current Accepting new patients
Johnson'S Auditory Sales & Service, Inc. Hearing Instrument Specialist CurrentSince Mar 22, 2020 Accepting new patients

Locations

975 E Edwardsville Rd
Wood River, IL 62095
Phone (618) 259-0700

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.

NPI Registry JSON

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1396100962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 E EDWARDSVILLE RD",
            "city": "WOOD RIVER",
            "state": "IL",
            "postal_code": "620951823",
            "telephone_number": "618-259-0700",
            "fax_number": "618-259-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E EDWARDSVILLE RD",
            "city": "WOOD RIVER",
            "state": "IL",
            "postal_code": "620951823",
            "telephone_number": "618-259-0700",
            "fax_number": "618-259-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLLE",
        "first_name": "JENNIFER",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": "2995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wood River, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.