Active NPI
Janet M Thibert, AU.D.
- Audiologist-Hearing Aid Fitter
- Green Bay, WI
National Provider Identifier
1821057274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 464-156
- Practice address
- 2331 Velp Ave
Suite G
Green Bay, WI 54303-6592 - Phone
- (920) 434-6777
- Fax
- (920) 434-6988
- NPI assigned
- Mar 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 464-156 | WI | Primary |
Addresses
Primary practice location
2331 Velp Ave
Suite G
Green Bay, WI 54303-6592
Mailing address
2331 Velp Ave
Suite G
Green Bay, WI 54303-6592
Phone (920) 434-6777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071001000224 | WI | Practitioner - Qualified Audiologist | 4587759980 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Audiology & Hearing Center, LLC | Past | Accepting new patients | |
| Aggeus Healthcare, P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190073600000",
"number": "1821057274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2331 VELP AVE",
"address_2": "SUITE G",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543036592",
"telephone_number": "920-434-6777",
"fax_number": "920-434-6988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2331 VELP AVE",
"address_2": "SUITE G",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543036592",
"telephone_number": "920-434-6777",
"fax_number": "920-434-6988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIBERT",
"first_name": "JANET",
"middle_name": "M",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-22",
"last_updated": "2007-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "WI",
"license": "464-156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.