Jaiden Brockhouse

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

3554 Issued in IL

Practice address

4627 N University St
Peoria, IL 61614-5828

Phone

(309) 685-2385

NPI assigned

Dec 27, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Chicago Hearing LLC

  • Hearing Aid Equipment
  • Peoria, IL
  • NPI 1831625052
  NPD (past)

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1487423877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 ENTERPRISE RD",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120953326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4627 N UNIVERSITY ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145828",
            "telephone_number": "309-685-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKHOUSE",
        "first_name": "JAIDEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": "3554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda J. Briggs, CRNA
• Kathleen M Bright, PTA
• Brighter Days Counseling PC
• Mikala Rae Brinkman, BA, MD
• Michele L Britvec
• Morrisa R. Brody-Schwartz, D.D.S.
• Timothy Dale Bromley, M.A., L.C.P.C.
• Matthew Brooke, DO
• Donna Jaree Brooks, MA LCPC
• Holly Louise Brooks, PA

• Hearing Instrument Specialist in Peoria, IL
• Providers in Peoria, IL by specialty
• Hearing Instrument Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.