Active NPI
Jennifer Brooke Mercier, AU.D.
- Audiologist
- Salt Lake City, UT
National Provider Identifier
1730217043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 200346
- Practice address
- 100 Mario Capecchi Drive
PCMC Rehab Main Campus 100 N. Mario Capecchi Dr.
Salt Lake City, UT 84113 - Phone
- (801) 662-4949
- Fax
- (303) 764-8214
- NPI assigned
- Feb 28, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 200346 | CO | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 200346 | CO |
Addresses
Primary practice location
100 Mario Capecchi Drive
PCMC Rehab Main Campus 100 N. Mario Capecchi Dr.
Salt Lake City, UT 84113
Mailing address
100 Mario Capecchi Drive
Salt Lake City, UT 84132
Phone (801) 662-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26976048 | Medicaid | CO |
Other names 1
- Jennifer Brooke Barnes
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 |
|---|---|---|---|
| 200346 | CO | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Colorado | Current | Accepting new patients |
Locations
13123 E 16th Ave
Ste B10
Aurora, CO 80045
13123 E 16th Ave
#B30
Aurora, CO 80045
Phone (720) 777-6800
Interoperability endpoints
- jmercier6396@direct.childrenscolorado.org
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.
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421280000000",
"number": "1730217043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MARIO CAPECCHI DRIVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84132",
"telephone_number": "801-662-1000",
"fax_number": "801-662-4931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MARIO CAPECCHI DRIVE",
"address_2": "PCMC REHAB MAIN CAMPUS 100 N. MARIO CAPECCHI DR.",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84113",
"telephone_number": "801-662-4949",
"fax_number": "303-764-8214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCIER",
"first_name": "JENNIFER",
"middle_name": "BROOKE",
"name_prefix": "Ms.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2015-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CO",
"license": "200346",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CO",
"license": "200346",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "26976048",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "BARNES",
"middle_name": "BROOKE",
"credential": "AU.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.