Jody Ann Jedlicka, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

164-156 Issued in WI

Practice address

1820 W Pointe Dr
Oshkosh, WI 54902-4164

Phone

(920) 233-1800

Fax

(920) 232-1538

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1447314117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 W POINTE DR",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549024164",
            "telephone_number": "920-233-1800",
            "fax_number": "920-232-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W POINTE DR",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549024164",
            "telephone_number": "920-233-1800",
            "fax_number": "920-232-1538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N474 Eisenhower Dr",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549156160",
            "country_code": "US",
            "telephone_number": "920-882-2006",
            "fax_number": "920-882-8649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEDLICKA",
        "first_name": "JODY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WI",
            "license": "164-156",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WI",
            "license": "164-156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41122200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ann James
• Bernadette Lucille Jannusch, CSAC
• Emilie Jansen
• David A Janssen, M.D.
• Rimas V Janusonis, MD
• Kristin A Jenkins
• Marc S Jennings, PA-C
• Doreen Elizabeth Jensen, MS
• G F Jensen, OD
• Tyler J Jensen

• Audiologist in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Audiologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.