Individual provider Active NPI

Jenna Nicole Deverall, AUD

  • Audiologist
  • Twinsburg, OH
National Provider Identifier
1700715562
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A.02639 Issued in OH
Practice address
10816 Ravenna Rd
Twinsburg, OH 44087-1016
Phone
(330) 405-0550
NPI assigned
May 18, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A.02639 OH Primary

Addresses

Primary practice location

10816 Ravenna Rd
Twinsburg, OH 44087-1016

Mailing address

10816 Ravenna Rd
Twinsburg, OH 44087-1016
Phone (330) 405-0550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10816 Ravenna Rd
Twinsburg, OH 44087-1016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A.02639OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Hearing and Balance LLC Audiologist CurrentSince May 16, 2026 Accepting new patients
Rajesh Saraiya MD PC Inc PastSince May 16, 2026 Accepting new patients

Locations

10816 Ravenna Rd
Twinsburg, OH 44087
Phone (330) 405-0550

10812 Ravenna Rd
Twinsburg, OH 44087
Phone (330) 405-0550

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.

NPI Registry JSON

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1700715562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10816 RAVENNA RD",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440871016",
            "telephone_number": "330-405-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10816 RAVENNA RD",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440871016",
            "telephone_number": "330-405-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVERALL",
        "first_name": "JENNA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A.02639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twinsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.