Active NPI
Jacqueline Kim Banks, H.I.S.
- Hearing Instrument Specialist
- Raleigh, NC
National Provider Identifier
1821495565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1465
- Practice address
- 2537 S Saunders St
Raleigh, NC 27603-2843 - Phone
- (919) 856-4565
- Fax
- (919) 856-4565
- NPI assigned
- Nov 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 02617 | MD | |
| Hearing Instrument Specialist | 237700000X | 1465 | NC | Primary |
Addresses
Primary practice location
2537 S Saunders St
Raleigh, NC 27603-2843
Mailing address
1420 Wescott Dr
Raleigh, NC 27614
Phone (864) 980-6768
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1465 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 02617 | MD | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478476800000",
"number": "1821495565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 WESCOTT DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27614",
"telephone_number": "864-980-6768",
"fax_number": "864-980-6768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2537 S SAUNDERS ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276032843",
"telephone_number": "919-856-4565",
"fax_number": "919-856-4565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "JACQUELINE",
"middle_name": "KIM",
"credential": "H.I.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-24",
"last_updated": "2016-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MD",
"license": "02617",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NC",
"license": "1465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.