Jenny K Holloway, HID

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

3206 Issued in IL

Practice address

1000 Factory Outlet Blvd Ste 103
West Frankfort, IL 62896-4179

Phone

(618) 937-6419

Fax

(618) 932-3163

NPI assigned

Dec 30, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Northland Hearing Centers, Inc.

  • Hearing and Speech Clinic/Center
  • Eden Prairie, MN
  • NPI 1225070667

  Audiologist-Hearing Aid Fitter

  NPD (past)

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1447615786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 SE SUNNYSIDE RD STE 300N",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155703",
            "telephone_number": "281-286-2999",
            "fax_number": "512-607-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FACTORY OUTLET BLVD STE 103",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "628964179",
            "telephone_number": "618-937-6419",
            "fax_number": "618-932-3163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 N Market St",
            "address_purpose": "LOCATION",
            "city": "Sparta",
            "state": "IL",
            "postal_code": "622862068",
            "country_code": "US",
            "telephone_number": "618-443-1918",
            "fax_number": "618-443-4278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 E Main St",
            "address_purpose": "LOCATION",
            "city": "Olney",
            "state": "IL",
            "postal_code": "624502625",
            "country_code": "US",
            "telephone_number": "618-392-3633",
            "fax_number": "618-393-7503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1624 West Main",
            "address_purpose": "LOCATION",
            "city": "Carmi",
            "state": "IL",
            "postal_code": "628212235",
            "country_code": "US",
            "telephone_number": "618-382-3123",
            "fax_number": "618-382-4964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Veterans Dr",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "IL",
            "postal_code": "629463320",
            "country_code": "US",
            "telephone_number": "618-252-2452",
            "fax_number": "618-294-8413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2419 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "IL",
            "postal_code": "628642917",
            "country_code": "US",
            "telephone_number": "618-241-9292",
            "fax_number": "618-242-1727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W Clark Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Effingham",
            "state": "IL",
            "postal_code": "624012689",
            "country_code": "US",
            "telephone_number": "217-347-7237",
            "fax_number": "217-347-9409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1103 W Main St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IL",
            "postal_code": "629591843",
            "country_code": "US",
            "telephone_number": "618-997-6975",
            "fax_number": "618-998-9735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "JENNY",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "HID",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": "3206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Hewitt
• Highland Park CVS, L.L.C.
• Ashley Hilliard
• Corbana Hodges, BS
• Danyale Hollis
• Melissa Holmes
• Homestead House
• Diedra Hopes
• Stacey Horaz
• William Hubenthal

• Hearing Instrument Specialist in West Frankfort, IL
• Providers in West Frankfort, IL by specialty
• Hearing Instrument Specialist in Illinois

• 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.