Individual provider Active NPI

Jeana Foster Anderson, MA-CCC-A

  • Audiologist-Hearing Aid Fitter
  • Medford, OR
National Provider Identifier
1447551452
Registry record updated Nov 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
23299 Issued in OR
Practice address
45 Hawthorne St Ste 3
Medford, OR 97504-7166
Phone
(541) 772-4484
Fax
(541) 772-4494
NPI assigned
Nov 7, 2010
Last updated
Nov 7, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 23299 OR Primary

Addresses

Primary practice location

45 Hawthorne St Ste 3
Medford, OR 97504-7166

Mailing address

45 Hawthorne St Ste 3
Medford, OR 97504-7166
Phone (541) 772-4484

Other identifiers 1

IdentifierTypeStateIssuer
23299OtherORBOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY & AUDIOLOGY

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
23299ORMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Oregon Audiology, Inc. PastSince Aug 4, 2013 Accepting new patients

Organizations & group practices 1

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": "1289088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289088000000",
    "number": "1447551452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 HAWTHORNE ST STE 3",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047166",
            "telephone_number": "541-772-4484",
            "fax_number": "541-772-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 HAWTHORNE ST STE 3",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047166",
            "telephone_number": "541-772-4484",
            "fax_number": "541-772-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JEANA",
        "middle_name": "FOSTER",
        "name_prefix": "Ms.",
        "credential": "MA-CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-07",
        "last_updated": "2010-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OR",
            "license": "23299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY & AUDIOLOGY",
            "identifier": "23299",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2010; 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.