Individual provider Active NPI

Jennifer Lynn Bain-Dixon, M.S.,CCC-A

  • Audiologist
  • Indian Wells, CA
National Provider Identifier
1437337367
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1847 Issued in CA
Practice address
74941 US Highway 111
Indian Wells, CA 92210-7133
Phone
(760) 340-4580
Fax
(760) 341-5260
NPI assigned
Feb 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1847 CA Primary

Addresses

Primary practice location

74941 US Highway 111
Indian Wells, CA 92210-7133

Mailing address

750 N Commons Dr Ste 200
Aurora, IL 60504-7940
Phone (630) 303-5380

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140325001648 CA Practitioner - Qualified Audiologist 5991936528 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Hearing Inc Audiologist CurrentSince Apr 1, 2012 Accepting new patients
Connect Hearing, Inc. Audiologist Past Accepting new patients
Connect Hearing, Inc. Audiologist PastSince Dec 28, 2022 Accepting new patients
Connect Hearing, Inc. Audiologist Past Accepting new patients
Connect Hearing, Inc. Audiologist Past Accepting new patients
Connect Hearing, Inc. Audiologist Past Accepting new patients
Connect Hearing, Inc. Audiologist PastSince Dec 16, 2020 Accepting new patients

Locations

341 Westlake Ctr
Ste 331
Daly City, CA 94015
Phone (650) 755-3688

74941 US Highway 111
Indian Wells, CA 92210
Phone (760) 340-4580

24012 Calle de la Plata
Ste 215
Laguna Hills, CA 92653
Phone (949) 460-0617

300 E Esplanade Dr
Ste 480
Oxnard, CA 93036
Phone (805) 485-1290

2465 E Palm Canyon Dr
Ste 500
Palm Springs, CA 92264
Phone (760) 322-9533

1111 E Tahquitz Canyon Way
Ste 120
Palm Springs, CA 92262
Phone (760) 320-2676

4460 Black Ave
Ste F
Pleasanton, CA 94566
Phone (925) 484-3507

2555 Ocean Ave
Ste 203
San Francisco, CA 94132
Phone (415) 585-8788

840 Willow St
Ste 300
San Jose, CA 95125
Phone (408) 271-9447

1635 Lake San Marcos Dr
Ste 108
San Marcos, CA 92078
Phone (760) 744-1551

561 N Mountain Ave
Upland, CA 91786
Phone (909) 931-1069

2149 E Garvey Ave N
Ste A3
West Covina, CA 91791
Phone (626) 339-6449

750 N Commons Dr
Ste 200
Aurora, IL 60504

Organizations & group practices 7

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": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1437337367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N COMMONS DR STE 200",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047940",
            "telephone_number": "630-303-5380",
            "fax_number": "630-303-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74941 US HIGHWAY 111",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922107133",
            "telephone_number": "760-340-4580",
            "fax_number": "760-341-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIN-DIXON",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "M.S.,CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-01",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "1847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Wells, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.