Individual provider Active NPI

Jodie Gervais, MA, CCC-A

  • Audiologist-Hearing Aid Fitter
  • Xenia, OH
National Provider Identifier
1457833287
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
A01255 Issued in OH
Practice address
1418 Claiborne CT
Xenia, OH 45385-7056
Phone
(614) 738-8886
NPI assigned
Aug 29, 2018
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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 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

LicenseStateTypeSpecialty
A01255OHMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Medical Group, LLC CurrentSince Apr 1, 2024 Accepting new patients
Revolution Hearing CurrentSince Jul 11, 2023 Accepting new patients
Mobile Medical, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Mobile Medical, Inc. CurrentSince Nov 1, 2021 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.

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.

Verify at the official NPI Registry.