Individual provider Active NPI

Jillian Leigh Detwiler, AU.D.

  • Audiologist
  • Oklahoma City, OK
National Provider Identifier
1861826653
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
4137 Issued in OK
Practice address
1200 N Stonewall Ave
The Univeristy of Tulsa- Mary K Chapman Center
Oklahoma City, OK 73117-1215
Phone
(405) 271-2866
NPI assigned
Aug 28, 2013
Last updated
Jan 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 4137 OK Primary

Addresses

Primary practice location

1200 N Stonewall Ave
The Univeristy of Tulsa- Mary K Chapman Center
Oklahoma City, OK 73117-1215

Mailing address

1200 N Stonewall Ave
The Univeristy of Tulsa- Mary K Chapman Center
Oklahoma City, OK 73117-1215
Phone (405) 271-2866

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170816001153 OK Practitioner - Qualified Audiologist 0143592808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JD Stewart Companies PLLCGroup PAC ID 5092949560, 2 clinicians

Practice addresses (Care Compare)

129 W 7TH Ave
Stillwater, OK 74074-4055
Phone (405) 372-2657

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
JD Stewart Companies PLLC CurrentSince Jan 23, 2023 Accepting new patients

Locations

1201 S Adams St
Stillwater, OK 74074
Phone (405) 533-2060

129 W 7th Ave
Stillwater, OK 74074
Phone (405) 372-2657

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": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1861826653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N STONEWALL AVE",
            "address_2": "THE UNIVERISTY OF TULSA- MARY K CHAPMAN CENTER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171215",
            "telephone_number": "405-271-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STONEWALL AVE",
            "address_2": "THE UNIVERISTY OF TULSA- MARY K CHAPMAN CENTER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171215",
            "telephone_number": "405-271-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETWILER",
        "first_name": "JILLIAN",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OK",
            "license": "4137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.