Jennifer Lee Hatfield Hetzel, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2003014713 Issued in MO

Practice address

101 NW Englewood Rd Ste 150
Gladstone, MO 64118-4040

Phone

(164) 153-2338

NPI assigned

May 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jennifer Lee Hatfield Former name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ascentist Physicians Group, LLC

  • Otolaryngology Physician
  • Lees Summit, MO
  • NPI 1649206319

  Audiologist

  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1881802304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 VICTORY DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683807",
            "telephone_number": "816-415-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NW ENGLEWOOD RD STE 150",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641184040",
            "telephone_number": "164-153-2338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Victory Dr",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "MO",
            "postal_code": "640683807",
            "country_code": "US",
            "telephone_number": "816-415-3233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATFIELD HETZEL",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2003014713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HATFIELD",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Brooke Halligan, DPM
• Jerald Hamblin
• Caleb Hammond
• Steven Hankins
• Haroon Khalid MD PC
• Stephanie Ann Head, RPH
• Bradley Heathman
• Heavenly Hands in Home Care, LLC
• Heintz-Sight 20/20, Inc
• Shawna D. Heintz, O.D.

• Audiologist in Gladstone, MO
• Providers in Gladstone, MO by specialty
• Audiologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.