Jessica Elizabeth Henderson, AUD, CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

LD60293073 Issued in WA

Practice address

365 Cooper Point Rd NW Ste 101
Olympia, WA 98502-4462

Phone

(301) 704-7900

NPI assigned

Jul 30, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica E Tribe Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hearing and Communication Partners IncGroup PAC ID 2860782513, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13724/brand/1/csg/1/fhir/r4

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.

• Hearing & Communication Partners, Inc.

  • Audiologist
  • Olympia, WA
  • NPI 1295199735
  Medicare reassignment Care Compare group NPD
• Sound Connection Audiology, LLC

  • Audiologist
  • Olympia, WA
  • NPI 1710830146
  NPD Authorized official
• Finnigan Chiropractic Center PLLC

  • Chiropractor
  • Lacey, WA
  • NPI 1447307426
  NPD (past)

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1629324447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 COOPER POINT RD NW STE 101",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024462",
            "telephone_number": "301-704-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 COOPER POINT RD NW STE 101",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024462",
            "telephone_number": "301-704-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1307 Violet St SE",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985035710",
            "country_code": "US",
            "telephone_number": "360-704-7900",
            "fax_number": "360-704-7909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "409 S Market Blvd",
            "address_purpose": "LOCATION",
            "city": "Chehalis",
            "state": "WA",
            "postal_code": "985323043",
            "country_code": "US",
            "telephone_number": "360-704-7900",
            "fax_number": "360-704-7909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "JESSICA",
        "middle_name": "ELIZABETH",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WA",
            "license": "LD60293073",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD60293073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "TRIBE",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Unja Hanna Hempowicz, LPTA
• Amelia Henderson
• Darien Henderson
• Erin J Henderson, A.R.N.P.
• Jamie R Henderson
• Kimberly J Henderson, MA, LMHC
• Loreal Racquel Henderson, LPN
• Marcela Henderson
• Martha H Henderson, ARNP
• Sarah Anne Hendricks-Patel

• Audiologist in Olympia, WA
• Providers in Olympia, WA by specialty
• Audiologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.

Verify at the official NPI Registry.