Jessica Kreidler, AU.D., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2201001795 Issued in VA

Practice address

8301 Arlington Blvd Ste 302
Fairfax, VA 22031-2902

Phone

(703) 204-1123

Fax

(703) 645-0793

NPI assigned

Sep 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Audiology Associates Inc.Group PAC ID 4981626389, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Audiology Associates Inc.

  • Audiologist
  • Parkville, MD
  • NPI 1942325527

  DC

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1760096366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 ARLINGTON BLVD STE 302",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312902",
            "telephone_number": "703-204-1123",
            "fax_number": "703-645-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 ARLINGTON BLVD STE 302",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312902",
            "telephone_number": "703-204-1123",
            "fax_number": "703-645-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIDLER",
        "first_name": "JESSICA",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.kreidler@hearusa.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "address_1": "8301 Arlington Blvd Ste 302",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220312902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elena Marie Kramp
• Elena Krasteva, RPH
• Daniel Krause, PT
• Meryl Kray, FNP-BC
• Karlin Tate Krebs, CPNP
• Samantha Krejdovsky, PTA
• Melchizedek Rod Kresge, DNP, APRN, PMHNP-BC
• Kacia Kriener Putman, LCSW
• Sophie Krishnamoorthy
• Bhanumathi Krishnan, MD

• Audiologist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Audiologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.