Individual provider Active NPI

Jessica M Kiehl

  • Audiologist
  • Camp Hill, PA
National Provider Identifier
1417908716
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT005878 Issued in PA
Practice address
207 House Ave
Suite 100 B
Camp Hill, PA 17011-2308
Phone
(717) 761-7593
Fax
(717) 761-0384
NPI assigned
May 12, 2006
Last updated
May 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT005878 PA Primary

Addresses

Primary practice location

207 House Ave
Suite 100 B
Camp Hill, PA 17011-2308

Mailing address

207 House Ave
Ste 100B
Camp Hill, PA 17011-2308
Phone (717) 761-7593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060206000073 PA Practitioner - Qualified Audiologist 1557375045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

207 House Ave
Suite 100B
Camp Hill, PA 17011-2308
Phone (717) 761-7593

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT005878PAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Solutions of Central PA LLC Audiologist CurrentSince Apr 30, 2012 Accepting new patients
Deaf and Hard of Hearing Services of Lancaster County Audiologist Past Accepting new patients

Locations

5000 Cheshire Pkwy N
Plymouth, MN 55446
Phone (888) 333-9152

207 House Ave
Ste 100B
Camp Hill, PA 17011
Phone (717) 761-7593

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1417908716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 HOUSE AVE",
            "address_2": "STE 100B",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112308",
            "telephone_number": "717-761-7593",
            "fax_number": "717-761-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 HOUSE AVE",
            "address_2": "SUITE 100 B",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112308",
            "telephone_number": "717-761-7593",
            "fax_number": "717-761-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEHL",
        "first_name": "JESSICA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT005878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.