Active NPI
Jodie Gervais, MA, CCC-A
- Audiologist-Hearing Aid Fitter
- Xenia, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- A01255
- Practice address
- 1418 Claiborne CT
Xenia, OH 45385-7056 - Phone
- (614) 738-8886
- NPI assigned
- Aug 29, 2018
- Last updated
- Jul 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | A01255 | OH | Primary |
Addresses
Primary practice location
1418 Claiborne CT
Xenia, OH 45385-7056
Mailing address
1418 Claiborne CT
Xenia, OH 45385-7056
Phone (614) 738-8886
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01255 | OH | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Valley Medical Group, LLC | Current | Accepting new patients | |
| Revolution Hearing | Current | Accepting new patients | |
| Mobile Medical, Inc. | Current | Accepting new patients | |
| Mobile Medical, Inc. | Current | Accepting new patients | |
| Mobile Medical Inc | Current | Accepting new patients | |
| Mobile Medical, Inc. | Past | Accepting new patients |
Locations
451 Ruin Creek Rd
Ste 104
Henderson, NC 27536
Phone (252) 290-6264
3183 Beaver Vu Dr
Beavercreek, OH 45434
Phone (937) 637-1677
7790 Dayton Springfield Rd
Ste B
Fairborn, OH 45324
Phone (937) 340-6440
3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393
Organizations & group practices 6
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.
-
dba Ohio Valley Ear, Nose & Throat
- Family Medicine Physician
- Springfield, OH
- NPI 1114664836
-
- Audiologist
- Richmond, VA
- NPI 1154948420
-
- Podiatrist
- Perrysburg, OH
- NPI 1003066747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688947200000",
"number": "1457833287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1418 CLAIBORNE CT",
"city": "XENIA",
"state": "OH",
"postal_code": "453857056",
"telephone_number": "614-738-8886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1418 CLAIBORNE CT",
"city": "XENIA",
"state": "OH",
"postal_code": "453857056",
"telephone_number": "614-738-8886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERVAIS",
"first_name": "JODIE",
"credential": "MA, CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-29",
"last_updated": "2023-07-10",
"certification_date": "2023-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "OH",
"license": "A01255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Xenia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.