Individual provider Active NPI

Jessica Robin Marshall, HIS

  • Hearing Instrument Specialist
  • Bloomington, IN
National Provider Identifier
1417779133
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
17001652A Issued in IN
Practice address
1833 N Kinser Pike
Bloomington, IN 47404-1914
Phone
(812) 822-2892
Fax
(812) 822-2894
NPI assigned
Oct 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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 17001652A IN Primary

Addresses

Primary practice location

1833 N Kinser Pike
Bloomington, IN 47404-1914

Mailing address

1833 N Kinser Pike
Bloomington, IN 47404-1914
Phone (812) 519-3547

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
17001652AINMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Help U Hear, LLC Hearing Instrument Specialist PastSince Oct 27, 2024 Accepting new patients
WWJD Inc Hearing Instrument Specialist PastSince Oct 27, 2024 Accepting new patients

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": "1729814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1417779133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 N KINSER PIKE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474041914",
            "telephone_number": "812-519-3547",
            "fax_number": "812-519-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 N KINSER PIKE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474041914",
            "telephone_number": "812-822-2892",
            "fax_number": "812-822-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "JESSICA",
        "middle_name": "ROBIN",
        "name_prefix": "Ms.",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IN",
            "license": "17001652A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.