Individual provider Active NPI

Jackie Abram, AU.D.

  • Audiologist
  • West Des Moines, IA
National Provider Identifier
1932530896
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
779 Issued in IA
Practice address
908 8TH St
West Des Moines, IA 50265-3611
Phone
(515) 581-9279
NPI assigned
Dec 3, 2013
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 779 IA Primary

Addresses

Primary practice location

908 8TH St
West Des Moines, IA 50265-3611

Mailing address

908 8TH St
West Des Moines, IA 50265-3611
Phone (515) 581-9279

Other practice location 1

111 NW 2nd St
Stuart, IA 50250-7704
Phone (515) 581-9279

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250515002845 IA Practitioner - Qualified Audiologist 2466342373 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
779IAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Adair County Memorial Hospital CurrentSince May 1, 2025 Accepting new patients
Adair County Memorial Hospital Single Specialty CurrentSince May 1, 2025 Accepting new patients
Abram Audiology Single Specialty CurrentSince May 1, 2024 Accepting new patients
Adair County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients

Locations

609 SE Kent St
Greenfield, IA 50849
Phone (641) 743-2123

908 8th St
West Des Moines, IA 50265
Phone (515) 581-9279

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/f904b187-16a4-4582-8ea3-887d87de0011/

Organizations & group practices 4

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": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1932530896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 8TH ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502653611",
            "telephone_number": "515-581-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 8TH ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502653611",
            "telephone_number": "515-581-9279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 NW 2nd St",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "IA",
            "postal_code": "502507704",
            "country_code": "US",
            "telephone_number": "515-581-9279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRAM",
        "first_name": "JACKIE",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-03",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": "779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.