Individual provider Active NPI

Jacqueline Haas, HIS

  • Hearing Instrument Specialist
  • Delafield, WI
National Provider Identifier
1871369009
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2048-60 Issued in WI
Practice address
2722 Heritage Dr
Delafield, WI 53018-2125
Phone
(262) 912-0608
Fax
(262) 782-3409
NPI assigned
Nov 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 2048-60 WI Primary

Addresses

Primary practice location

2722 Heritage Dr
Delafield, WI 53018-2125

Mailing address

2722 Heritage Dr
Delafield, WI 53018-2125
Phone (262) 912-0608

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

LicenseStateTypeSpecialty
2048-60WIMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Rem Audiology Associates, P.C. PastSince Dec 3, 2023 Accepting new patients
Audiology Services Company USA, LLC Hearing Instrument Specialist PastSince Dec 3, 2023 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1871369009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 HERITAGE DR",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182125",
            "telephone_number": "262-912-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 HERITAGE DR",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530182125",
            "telephone_number": "262-912-0608",
            "fax_number": "262-782-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "JACQUELINE",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WI",
            "license": "2048-60",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delafield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.