Jennifer Dye Wheelock, CCC-A, AU.D

Primary specialty

AudiologistTaxonomy code 231H00000X

License

0467 Issued in KY

Practice address

111 E Kentucky St
Louisville, KY 40203-2793

Phone

(502) 584-3573

Fax

(502) 515-3325

NPI assigned

Jan 13, 2006

Last updated

Jan 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hear Here LLC

  • Audiologist
  • Louisville, KY
  • NPI 1669692323
  NPD (past)
• Primesource Healthcare Systems, Inc.

  • Podiatrist
  • Buffalo Grove, IL
  • NPI 1144619271

  Audiologist

  NPD (past)
• Primesource Healthcare Systems, Inc.

  • Podiatrist
  • Buffalo Grove, IL
  • NPI 1497704126

  Audiologist

  NPD (past)

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295654400000",
    "number": "1639158967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E KENTUCKY ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032793",
            "telephone_number": "502-584-3573",
            "fax_number": "502-515-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E KENTUCKY ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032793",
            "telephone_number": "502-584-3573",
            "fax_number": "502-515-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELOCK",
        "first_name": "JENNIFER",
        "middle_name": "DYE",
        "name_prefix": "Dr.",
        "credential": "CCC-A, AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2011-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002340A",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "0467",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "KY",
            "license": "0929",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200137900A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000352564",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD / TRAVELER",
            "identifier": "P00136043",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Wheeler, RBT
• Sarah Wheeler II, PHARMD
• Shannon Smith Wheeler, DMD
• Stephen Frank Wheeler, MD
• Carson Wheeless, CRNA
• Anne Marie Whelan, LCSW
• Erika Aimers Whelan, APRN
• Where There's a Wheel There's a Way LLC
• Mary Jo Wherry, RNFA
• Beck M Whipple

• Audiologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Audiologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2011; 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.