Individual provider Active NPI

Jamie S Wilkins, M.ED., CCC-A

  • Audiologist
  • Concord, MA
National Provider Identifier
1447317284
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
431 Issued in MA
Practice address
54 Baker Avenue Ext Ste 303
Concord, MA 01742-2139
Phone
(978) 369-8780
Fax
(978) 369-1043
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 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 431 MA Primary

Addresses

Primary practice location

54 Baker Avenue Ext Ste 303
Concord, MA 01742-2139

Mailing address

54 Baker Avenue Ext Ste 303
Concord, MA 01742-2139
Phone (978) 369-8780

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Wilkins.Jamie.MEEI@direct.partners.masshiway.net Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081104000010 MA Practitioner - Qualified Audiologist 7911066154 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
431MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts Eye and Ear Infirmary CurrentSince Jul 6, 2020 Accepting new patients
Massachusetts Eye and Ear Associates, Inc. Past Accepting new patients

Locations

243 Charles St
Boston, MA 02114
Phone (617) 523-7900

54 Baker Avenue Ext
Ste 303
Concord, MA 01742
Phone (978) 369-8780

300 Crown Colony Dr
Ste 201
Quincy, MA 02169
Phone (617) 573-3135

Interoperability endpoints

  • Direct secure messaging: wilkins.jamie.meei@direct.partners.masshiway.net

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1447317284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 BAKER AVENUE EXT STE 303",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422139",
            "telephone_number": "978-369-8780",
            "fax_number": "978-369-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BAKER AVENUE EXT STE 303",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422139",
            "telephone_number": "978-369-8780",
            "fax_number": "978-369-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "JAMIE",
        "middle_name": "S",
        "credential": "M.ED., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Wilkins.Jamie.MEEI@direct.partners.masshiway.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "54 Baker Avenue Ext Ste 303",
            "city": "Concord",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017422139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.