Active NPI
Jessica Keen, HIM
- Hearing Instrument Specialist
- Champaign, IL
National Provider Identifier
1720896475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 3618
- Practice address
- 2916 Crossing CT Ste B
Champaign, IL 61822-5900 - Phone
- (217) 693-7085
- NPI assigned
- Dec 27, 2024
- Last updated
- Dec 27, 2024
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 3618 | IL | Primary |
Addresses
Primary practice location
2916 Crossing CT Ste B
Champaign, IL 61822-5900
Mailing address
2916 Crossing CT Ste B
Champaign, IL 61822-5900
Phone (217) 693-7085
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3618 | IL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quednau Hearing. Inc | Hearing Instrument Specialist | Current | Accepting new patients |
Locations
2916 Crossing Ct
Ste B
Champaign, IL 61822
Phone (217) 693-7085
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, 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": "1735257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1720896475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2916 CROSSING CT STE B",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618225900",
"telephone_number": "217-693-7085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2916 CROSSING CT STE B",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618225900",
"telephone_number": "217-693-7085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEN",
"first_name": "JESSICA",
"name_prefix": "Mrs.",
"credential": "HIM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-27",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IL",
"license": "3618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.