Beth Ann Jacques, AU.D., CCC-A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

A598 Issued in NH

Practice address

1 Pillsbury St
Concord, NH 03301-3556

Phone

(603) 856-8275

Fax

(603) 219-0454

NPI assigned

Jul 9, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New England Audiology PLLC

  • Audiologist-Hearing Aid Fitter
  • Concord, NH
  • NPI 1679861546
  Medicare reassignment NPD
• Brattleboro Hearing Center Inc

  • Audiologist-Hearing Aid Fitter
  • Brattleboro, VT
  • NPI 1265835755
  NPD (past)
• VT Center for the Deaf & Hoh

  • Audiologist-Hearing Aid Fitter
  • Brattleboro, VT
  • NPI 1780775189
  NPD (past)

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1407019441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PILLSBURY ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013556",
            "telephone_number": "603-856-8275",
            "fax_number": "603-219-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PILLSBURY ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013556",
            "telephone_number": "603-856-8275",
            "fax_number": "603-219-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "BETH",
        "middle_name": "ANN",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NH",
            "license": "A598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3102544",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Jane Jackson, OTR
• Gabbrielle Jackson, MS, CNS
• Latosha M Jackson, LICSW
• Thomas Lane Jackson, MD
• Sarah Caitlyn Jacoby, PA-C
• Randal F Jacunski, MHS,LADC
• Andrew M Jaffe, MD
• Vanita K Jain, DO
• Annemarie Jalbert
• Patricia Lynn Jalbert, MA

• All providers in Concord, NH
• Audiologist-Hearing Aid Fitter in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.

Verify at the official NPI Registry.