Professional Hearing Services, Inc.

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

00533 Issued in IA

Legal business name

PROFESSIONAL HEARING SERVICES, INC.

Practice address

1500 Center St NE Ste 102
Cedar Rapids, IA 52402-5500

Phone

(319) 393-4673

Fax

(319) 200-4068

NPI assigned

Jul 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jill Lynnette Nesham, AU.D.

Title

President/Owner

Phone

(319) 393-4673

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Professional Hearing Solutions by Dr. Jill Doing business as

Locations

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1477937019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 CENTER ST NE STE 102",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025500",
            "telephone_number": "319-393-4673",
            "fax_number": "319-200-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CENTER ST NE STE 102",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025500",
            "telephone_number": "319-393-4673",
            "fax_number": "319-200-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEARING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "NESHAM",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "LYNNETTE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "319-393-4673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "IA",
            "license": "00533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1154332484",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Hearing Solutions by Dr. Jill",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Professional Hearing Solutions by Dr. Jill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Cedar Rapids, IA
• Hearing and Speech Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.