Active NPI
Janet Lee Kenyon, AUD
- Audiologist
- Bend, OR
National Provider Identifier
1720223753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 21288
- Practice address
- 1625 NE 2ND St
Bend, OR 97701-4046 - Phone
- (541) 317-1265
- Fax
- (541) 317-1273
- NPI assigned
- Dec 4, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 21288 | OR | Primary |
Addresses
Primary practice location
1625 NE 2ND St
Bend, OR 97701-4046
Mailing address
1625 NE 2ND St
Bend, OR 97701-4046
Phone (541) 317-1265
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21288 | OR | MD | Audiologist |
Organizations & group practices 1
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.
-
- Clinic/Center
- Bend, OR
- NPI 1417383464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359504000000",
"number": "1720223753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 NE 2ND ST",
"city": "BEND",
"state": "OR",
"postal_code": "977014046",
"telephone_number": "541-317-1265",
"fax_number": "541-317-1273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 NE 2ND ST",
"city": "BEND",
"state": "OR",
"postal_code": "977014046",
"telephone_number": "541-317-1265",
"fax_number": "541-317-1273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENYON",
"first_name": "JANET",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-04",
"last_updated": "2013-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OR",
"license": "21288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.