Jessy Roy Emmett, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

17001528A Issued in IN

Practice address

205 West State Street
Suite 1
Princeton, IN 47670

Phone

(812) 385-0112

NPI assigned

Mar 30, 2020

Last updated

Mar 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1497383046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 WEST STATE STREET",
            "address_2": "SUITE 1",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "47670",
            "telephone_number": "812-385-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WEST STATE STREET",
            "address_2": "SUITE 1",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "47670",
            "telephone_number": "812-385-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMETT",
        "first_name": "JESSY",
        "middle_name": "ROY",
        "credential": "HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IN",
            "license": "17001528A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Deffendall
• Betty Dillingham, LCSW
• Lauren Durchholz, M.S. CCC-SLP
• William Curtis Earnest V, FNP-C
• Lori Michelle Edwards, PHARMD
• Christopher Martin Everett, PA-C
• Eye Center of Southwestern Indiana PC
• Elaine Fortner, RPH
• Brianna Nicole Garcia, FNP-BC
• Mary Elizabeth Garner, PT

• Hearing Instrument Specialist in Princeton, IN
• Providers in Princeton, IN by specialty
• Hearing Instrument Specialist in Indiana

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