Active NPI
Jennifer A. Henson, M.S., CCC-A
- Audiologist
- Bristol, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1193
- Practice address
- 3185 W State St
Suite 2010
Bristol, TN 37620-1610 - Phone
- (423) 968-7555
- Fax
- (423) 968-7641
- NPI assigned
- May 27, 2008
- Last updated
- Jun 11, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1193 | TN | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 2201001302 | VA |
Addresses
Primary practice location
3185 W State St
Suite 2010
Bristol, TN 37620-1610
Mailing address
3185 W State St
Suite 2010
Bristol, TN 37620-1610
Phone (423) 968-7555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3185 W State St
Suite 2010
Bristol, TN 37620-1600
Phone (423) 968-7555
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.18 of 100
- Quality
- 94.36
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Empire Eye Physicians PLLC | Current | Accepting new patients |
Locations
3185 W State St
Ste 2010
Bristol, TN 37620
Phone (423) 968-7555
2010 Bremo Rd
Ste 128A
Richmond, VA 23226
Phone (804) 285-0680
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Bristol, TN
- NPI 1609969682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370908800000",
"number": "1558529552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3185 W STATE ST",
"address_2": "SUITE 2010",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376201610",
"telephone_number": "423-968-7555",
"fax_number": "423-968-7641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3185 W STATE ST",
"address_2": "SUITE 2010",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376201610",
"telephone_number": "423-968-7555",
"fax_number": "423-968-7641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSON",
"first_name": "JENNIFER",
"middle_name": "A.",
"credential": "M.S., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-27",
"last_updated": "2013-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TN",
"license": "1193",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "VA",
"license": "2201001302",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.