Jacquelyn Marie Rice, HIS, LPN

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

17001480A Issued in IN

Practice address

130 Roys Dr
Mishawaka, IN 46544-1581

Phone

(574) 387-4215

NPI assigned

Jun 25, 2018

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 names 1

• Jacquelyn Marie Everett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1447745203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 ROYS DR STE 1",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465441581",
            "telephone_number": "574-387-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 ROYS DR",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465441581",
            "telephone_number": "574-387-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "JACQUELYN",
        "middle_name": "MARIE",
        "credential": "HIS, LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IN",
            "license": "27048486A",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IN",
            "license": "17001480A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYN",
            "last_name": "EVERETT",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas K Rhee, MD
• Kirstin P Rhinehart, OD
• Sarah R Rhodes, MS, LAT, ATC
• Troy Rhodes, O.D.
• Stephen Ralph Ribaudo, M.D.
• Jonathan Rich
• Bradley A Richards, MD
• Emily Richardson, RBT
• Hannah Richendollar, RBT
• Karen Elise Richie, LCSW, DSW

• Hearing Instrument Specialist in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Hearing Instrument Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.