Jeanette Van Kessel, CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

20957 Issued in OR

Practice address

301 NE Franklin Ave
Bend, OR 97701-4917

Phone

(541) 389-6669

Fax

(541) 389-8865

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Audiology Distribution, LLC

  • Audiologist-Hearing Aid Fitter
  • Dublin, OH
  • NPI 1164707998
  NPD

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1659385482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NE FRANKLIN AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014917",
            "telephone_number": "541-389-6669",
            "fax_number": "541-389-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NE FRANKLIN AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014917",
            "telephone_number": "541-389-6669",
            "fax_number": "541-389-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN KESSEL",
        "first_name": "JEANETTE",
        "credential": "CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "20957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038195",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marleigh Van Alderwerelt
• Johane Van Camp
• Joshua M Van Der Bunt, D.M.D.
• Anne Van Dusen, LCSW
• Alyssa Van Heerden, PA-C
• Marianne McQuade Van Kessel, M.S. CCC-SLP
• Marya Van Kessel, BSC
• Holly Van Loo
• Mackenzie Van Loo, PT
• Sarah Van Meter

• Audiologist in Bend, OR
• Providers in Bend, OR by specialty
• Audiologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.