Active NPI
Jennifer Kathryn Isbelle, HIS
- Hearing Instrument Specialist
- The Dalles, OR
National Provider Identifier
1437734191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 61041788
- Practice address
- 302 E 4TH St
The Dalles, OR 97058-2208 - Phone
- (541) 397-0074
- NPI assigned
- Mar 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 61041788 | WA | Primary |
Addresses
Primary practice location
302 E 4TH St
The Dalles, OR 97058-2208
Mailing address
302 E 4TH St
The Dalles, OR 97058-2208
Phone (541) 397-0074
Other practice location 1
1658 Damen St
Moscow, ID 83843-9204
Phone (509) 288-9721
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61041788 | Other | WA | WASHINGTON STATE HEARING AID DISPENSING LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 61041788 | WA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618704000000",
"number": "1437734191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 E 4TH ST",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970582208",
"telephone_number": "541-397-0074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 E 4TH ST",
"city": "THE DALLES",
"state": "OR",
"postal_code": "970582208",
"telephone_number": "541-397-0074"
}
],
"practiceLocations": [
{
"address_1": "1658 Damen St",
"address_purpose": "LOCATION",
"city": "Moscow",
"state": "ID",
"postal_code": "838439204",
"country_code": "US",
"telephone_number": "509-288-9721",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISBELLE",
"first_name": "JENNIFER",
"middle_name": "KATHRYN",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-15",
"last_updated": "2021-04-18",
"certification_date": "2021-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "WA",
"license": "61041788",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE HEARING AID DISPENSING LICENSE",
"identifier": "61041788",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in The Dalles, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.