Jaclyn Ann Knutson, M.A.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

LD60192819 Issued in WA

Practice address

128 Lilly Rd NE
Suite 202
Lacey, WA 98506-7400

Phone

(360) 357-6314

Fax

(360) 705-3745

NPI assigned

Jun 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harbor Audiology and Hearing Services IncGroup PAC ID 5597746727, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Harbor Audiology & Hearing Services Inc

  • Audiologist
  • Gig Harbor, WA
  • NPI 1336318310
  Care Compare group
• Pacific Otolaryngology PS

  • Otolaryngology Physician
  • Tacoma, WA
  • NPI 1457408221
  NPD
• Paradise Hearing & Balance Clinics Inc

  • Audiologist
  • Paradise, CA
  • NPI 1194923995
  NPD (past)
• Sacramento Hearing Services Center, Inc.

  • Voluntary or Charitable Agency
  • Sacramento, CA
  • NPI 1437250537
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1467658229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 LILLY RD NE",
            "address_2": "SUITE 202",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985067400",
            "telephone_number": "360-357-6314",
            "fax_number": "360-705-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 LILLY RD NE",
            "address_2": "SUITE 202",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985067400",
            "telephone_number": "360-357-6314",
            "fax_number": "360-705-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUTSON",
        "first_name": "JACLYN",
        "middle_name": "ANN",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WA",
            "license": "LD60192819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPT OF HEALTH",
            "identifier": "LD60192819",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Kliem, DC
• Princess Klus
• KM Stamwitz PLLC
• Stephanie Ellen Knaack
• Brianne Rose Knighton, M.ED. BCBA
• Jeff Knutson
• Thomas Kolberg, RN
• Anish S Konde, M.D.
• Summer Rae Koogler, PT, DPT
• Kenneth Wayne Kooser, M.D.

• Audiologist-Hearing Aid Fitter in Lacey, WA
• Providers in Lacey, WA by specialty
• Audiologist-Hearing Aid Fitter in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.