Rena L. Jacobson, AUD, FAAA, CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

566 Issued in MA

Practice address

341 State Rd
Dartmouth, MA 02747-4319

Phone

(508) 996-0389

Fax

(508) 997-0429

NPI assigned

Jan 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Rena L Griffis Former name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Pennsylvania College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• RJ Audiology LTD

  • Hearing Aid Equipment
  • Dartmouth, MA
  • NPI 1497117204
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1407835481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 STATE RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027474319",
            "telephone_number": "508-996-0389",
            "fax_number": "508-997-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 STATE RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027474319",
            "telephone_number": "508-996-0389",
            "fax_number": "508-997-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "RENA",
        "middle_name": "L.",
        "credential": "AUD, FAAA, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5104530",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENA",
            "last_name": "GRIFFIS",
            "middle_name": "L",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Audiologist in Dartmouth, MA
• Providers in Dartmouth, MA by specialty
• Audiologist in Massachusetts

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