Active NPI
Jillian Leigh Detwiler, AU.D.
- Audiologist
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 4137
- 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, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JD Stewart Companies PLLC | Current | 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.
-
dba Integrity Audiology
- Audiologist-Hearing Aid Fitter
- Stillwater, OK
- NPI 1578903340
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.