Individual provider Active NPI

Suzanne E Jennings, AU.D.

  • Audiologist
  • Bellingham, WA
National Provider Identifier
1740304336
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
LD00003109 Issued in WA
Practice address
2114 James St
Bellingham, WA 98225-4140
Phone
(360) 527-8525
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X LD00003109 WA
Audiologist 231H00000X LD00003109 WA Primary

Addresses

Primary practice location

2114 James St
Bellingham, WA 98225-4140

Mailing address

2114 James St
Bellingham, WA 98225-4140
Phone (360) 527-8525

Other identifiers 2

IdentifierTypeStateIssuer
0170563OtherWAL&I PROVIDER NUMBER
LD00003109OtherWADEPT OF HEALTH LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080818000661 WA Practitioner - Qualified Audiologist 4284709767 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Spencer Audiology Clinic PSGroup PAC ID 8921430695, 4 clinicians

Practice addresses (Care Compare)

2114 James St
Bellingham, WA 98225-4140
Phone (360) 527-8525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons Inc P S Current Accepting new patients
Proliance Surgeons, Inc., P.S. CurrentSince Jan 1, 2014 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Jan 1, 2014 Accepting new patients
Spencer Audiology Clinic, PS Audiologist CurrentSince Aug 10, 2020 Accepting new patients

Locations

2114 James St
Bellingham, WA 98225
Phone (360) 527-8525

1401 S Laventure Rd
Mount Vernon, WA 98274
Phone (360) 424-2400

111 S 13th St
Mount Vernon, WA 98274
Phone (360) 336-2178

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

Organizations & group practices 4

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1740304336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 JAMES ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254140",
            "telephone_number": "360-527-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 JAMES ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254140",
            "telephone_number": "360-527-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "SUZANNE",
        "middle_name": "E",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WA",
            "license": "LD00003109",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD00003109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER NUMBER",
            "identifier": "0170563",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HEALTH LICENSE",
            "identifier": "LD00003109",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.