Individual provider Active NPI

Harriet B Jacobster, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Newburgh, NY
National Provider Identifier
1710011929
Registry record updated Feb 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
001314 Issued in NY
Practice address
259 State Route 17K Ste 103
Newburgh, NY 12550-8354
Phone
(845) 395-0300
Fax
(845) 395-0299
NPI assigned
Mar 16, 2007
Last updated
Feb 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X NU
Athletic Trainer 2255A2300X NU
Audiologist 231H00000X 001314 NY
Audiologist-Hearing Aid Fitter 237600000X 001314 NY Primary
Hearing Instrument Specialist 237700000X 14000018600 NY
Health & Wellness Coach 171400000X NU

Addresses

Primary practice location

259 State Route 17K Ste 103
Newburgh, NY 12550-8354

Mailing address

105 Pine Dr
New Windsor, NY 12553-6632
Phone (914) 621-2074

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001314NYMDMental Health Counselor
14000018600NYMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Leflo Fitness LLC Nutrition, Education CurrentSince Feb 25, 2024 Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708732800000",
    "number": "1710011929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PINE DR",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125536632",
            "telephone_number": "914-621-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 STATE ROUTE 17K STE 103",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125508354",
            "telephone_number": "845-395-0300",
            "fax_number": "845-395-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSTER",
        "first_name": "HARRIET",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2024-02-24",
        "certification_date": "2024-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001314",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "001314",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NY",
            "license": "14000018600",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2024; 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.