Active NPI
Jennifer Ann Detsch, AU.D.
- Audiologist
- Saint Marys, PA
National Provider Identifier
1396898938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT-005892
- Practice address
- 20 N Michael St
Saint Marys, PA 15857-1394 - Phone
- (814) 834-7721
- NPI assigned
- Jan 18, 2007
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT-005892 | PA | Primary |
Addresses
Primary practice location
20 N Michael St
Saint Marys, PA 15857-1394
Mailing address
1095 Million Dollar Hwy
Ste 2
Saint Marys, PA 15857-2743
Phone (814) 834-7721
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1095 Million Dollar Hwy
Suite 2
Saint Marys, PA 15857-2743
Phone (814) 834-7721
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT-005892 | PA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keystone Audiology & Hearing AIDS, Inc. | Audiologist | Current | Accepting new patients |
Locations
1095 Million Dollar Hwy
Ste 2
Saint Marys, PA 15857
Phone (814) 834-7721
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.
-
- Audiologist
- Saint Marys, PA
- NPI 1396201323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551225600000",
"number": "1396898938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1095 MILLION DOLLAR HWY",
"address_2": "STE 2",
"city": "SAINT MARYS",
"state": "PA",
"postal_code": "158572743",
"telephone_number": "814-834-7721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 N MICHAEL ST",
"city": "SAINT MARYS",
"state": "PA",
"postal_code": "158571394",
"telephone_number": "814-834-7721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DETSCH",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2019-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT-005892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Marys, PA
- Daniel D. Jones,D.C. (St. Marys Chiropractic Center)
- David G. Sanderson, DPM, PC
- Delhunty Chiropractic Health & Wellness, PLLC.
- Brandon Michael Delhunty, D.C.
- Kevin Destephano, PT
- Leah Mary Dippold, LCSW
- Amy J Dorsey, COTA
- Dr. K. Dawn Luvaas
- Drayer Physical Therapy Institute LLC
- DRMC - Penn Highlands Dubois Saint Marys Community Medical BLDG (Penn Highlands DuBois)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.