Individual provider Active NPI

Jennifer Bain

  • Hearing Instrument Specialist
  • St George, UT
National Provider Identifier
1740854645
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
5324660-4601 Issued in UT
Practice address
157 E Riverside Dr Ste 3D
Saint George, UT 84790-6889
Phone
(435) 674-9900
Fax
(435) 634-9384
NPI assigned
May 14, 2021
Last updated
May 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HAD-7176 AZ
Hearing Instrument Specialist 237700000X HAS-0572 NV
Hearing Instrument Specialist 237700000X 5324660-4601 UT Primary

Addresses

Primary practice location

157 E Riverside Dr Ste 3D
Saint George, UT 84790-6889

Mailing address

157 E Riverside Dr Ste 3D
Saint George, UT 84790-6889
Phone (435) 674-9900

Other identifiers 3

IdentifierTypeStateIssuer
HAD-7176OtherAZHEARING SPECIALIST
HAS-0572OtherNVHEARING AID SPECIALIST
5324660-4601OtherUTHEARING SPECIALIST

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL houseofhearing@mac.com Health Information Exchange (HIE) Nu-Ears House of Hearing, Inc.

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

LicenseStateTypeSpecialty
HAD-7176AZMDHearing Instrument Specialist
HAS-0572NVMDHearing Instrument Specialist
5324660-4601UTMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Nu-Ears House of Hearing, Inc. PastSince May 16, 2021 Accepting new patients

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": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1740854645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 E RIVERSIDE DR STE 3D",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847906889",
            "telephone_number": "435-674-9900",
            "fax_number": "435-634-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 E RIVERSIDE DR STE 3D",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847906889",
            "telephone_number": "435-674-9900",
            "fax_number": "435-634-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIN",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "AZ",
            "license": "HAD-7176",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NV",
            "license": "HAS-0572",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "UT",
            "license": "5324660-4601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING SPECIALIST",
            "identifier": "HAD-7176",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING AID SPECIALIST",
            "identifier": "HAS-0572",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING SPECIALIST",
            "identifier": "5324660-4601",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "houseofhearing@mac.com",
            "affiliation": "Y",
            "affiliationName": "Nu-Ears House of Hearing, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "157 E Riverside Dr Ste 3D",
            "city": "Saint George",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847906889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.