Individual provider Active NPI

Jennifer Ashley Bebee, AU.D.

  • Audiologist
  • Grand Junction, CO
National Provider Identifier
1790075067
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
614 Issued in CO
Practice address
2139 N 12TH St Ste 4
Grand Junction, CO 81501-2910
Phone
(970) 249-6968
Fax
(970) 549-4658
NPI assigned
Apr 7, 2011
Last updated
May 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 614 CO Primary

Addresses

Primary practice location

2139 N 12TH St Ste 4
Grand Junction, CO 81501-2910

Mailing address

2139 N 12TH St
Ste 4
Grand Junction, CO 81501-2910
Phone (970) 270-2486

Other identifiers 1

IdentifierTypeStateIssuer
57331375MedicaidCO

Other names 1

  • Jennifer Ashley Gordon Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120814000174 CO Practitioner - Qualified Audiologist 4082860622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Indiana University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Colorado Hearing ClinicGroup PAC ID 6103069737, 4 clinicians

Practice addresses (Care Compare)

2139 N 12TH St
Grand Junction, CO 81501-2910
Phone (970) 549-4660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
614COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Colorado Hearing Clinic Audiologist Past Accepting new patients
Western Colorado Hearing Clinic Audiologist Past Accepting new patients
Western Colorado Hearing Clinic Audiologist Past Accepting new patients

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, 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": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1790075067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 N 12TH ST",
            "address_2": "STE 4",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012910",
            "telephone_number": "970-270-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 N 12TH ST STE 4",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012910",
            "telephone_number": "970-249-6968",
            "fax_number": "970-549-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEBEE",
        "first_name": "JENNIFER",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-07",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57331375",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GORDON",
            "middle_name": "ASHLEY",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.