Active NPI
Jenny Lou Thompson, H.I.S
- Audiologist-Hearing Aid Fitter
- Winona, MN
National Provider Identifier
1508105263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 2620
- Practice address
- 52 W 3Rd St
Winona, MN 55987-3431 - Phone
- (507) 457-9830
- Fax
- (507) 457-9834
- NPI assigned
- Jan 31, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 2620 | MN | Primary |
Addresses
Primary practice location
52 W 3Rd St
Winona, MN 55987-3431
Mailing address
45 Hickory LN
Winona, MN 55987-6116
Phone (507) 410-2154
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 411947144 | Other | MN | FEDERAL TAX ID |
Other names 1
- Mrs. Jenny Lou Vernon-Thompson
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axe Audiology, LLC | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Zudac Enterprises | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Audiologist-Hearing Aid Fitter
- Saint Paul, MN
- NPI 1023783537
-
- Hearing Instrument Specialist
- Winona, MN
- NPI 1851447627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359590400000",
"number": "1508105263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 HICKORY LN",
"city": "WINONA",
"state": "MN",
"postal_code": "559876116",
"telephone_number": "507-410-2154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 W 3RD ST",
"city": "WINONA",
"state": "MN",
"postal_code": "559873431",
"telephone_number": "507-457-9830",
"fax_number": "507-457-9834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "JENNY",
"middle_name": "LOU",
"name_prefix": "Mrs.",
"credential": "H.I.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-31",
"last_updated": "2013-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MN",
"license": "2620",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID",
"identifier": "411947144",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNY",
"last_name": "VERNON-THOMPSON",
"middle_name": "LOU",
"prefix": "MRS.",
"credential": "H.I.S",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Winona, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.