Active NPI
Jenetta Anderson
- Hearing Instrument Specialist
- Santa Cruz, CA
National Provider Identifier
1871525329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HA4104
- Practice address
- 550 Water St
BLDG B
Santa Cruz, CA 95060-4124 - Phone
- (831) 423-6322
- Fax
- (831) 423-6325
- NPI assigned
- Jul 7, 2006
- Last updated
- May 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HA4104 | CA | Primary |
Addresses
Primary practice location
550 Water St
BLDG B
Santa Cruz, CA 95060-4124
Mailing address
260 Main St
Ste F
Redwood City, CA 94063-1778
Phone (650) 366-2900
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 |
|---|---|---|---|
| HA4104 | CA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401148800000",
"number": "1871525329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 MAIN ST",
"address_2": "STE F",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940631778",
"telephone_number": "650-366-2900",
"fax_number": "650-366-2908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 WATER ST",
"address_2": "BLDG B",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950604124",
"telephone_number": "831-423-6322",
"fax_number": "831-423-6325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JENETTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2014-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "HA4104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.