Barbara Rae Jackson, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000284 Issued in MI

Practice address

1101 Health Professions BLDG
Mt Pleasant, MI 48859-0001

Phone

(989) 774-3904

Fax

(989) 774-2405

NPI assigned

Dec 22, 2006

Last updated

Feb 18, 2013By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Michigan UniversityGroup PAC ID 3577558907, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Central Michigan University

  • Family Medicine Physician
  • Mt Pleasant, MI
  • NPI 1487686754
  Medicare reassignment Care Compare group NPD
• Central Michigan University

  • Sports Medicine (Family Medicine) Physician
  • Mt Pleasant, MI
  • NPI 1447606801
  NPD
• Central Michigan University

  dba Central Michigan Universiy

  • Audiologist
  • Mt Pleasant, MI
  • NPI 1619062817
  NPD
• Edward D Berg DO PC

  • Otolaryngology Physician
  • Lansing, MI
  • NPI 1366485609
  NPD (past)
• Maryrose Hecksel, Aud, LLC

  dba Audiology & Hearing Aid Center

  • Audiologist-Hearing Aid Fitter
  • Lansing, MI
  • NPI 1235541228
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1942365747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 HEALTH PROFESSIONS BLDG",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488590001",
            "telephone_number": "989-774-3904",
            "fax_number": "989-774-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 HEALTH PROFESSIONS BLDG",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488590001",
            "telephone_number": "989-774-3904",
            "fax_number": "989-774-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "BARBARA",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1601000284",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Andrew Iserhoth III, R.PH.
• Isomm LLC (Open MRI Mt Pleasant)
• It's All About Time Transportation LLC (About Time Transportation)
• Mary Jane Jack, MSP CCC-SLP
• Richard L Jack, RPH
• Benjamin Jackson, RPH
• Joy Katherine Jackson
• Patricia Jackson
• Jacob Lazarov Counseling
• Amy Lynn Jacobs, RPH

• Audiologist in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.

Verify at the official NPI Registry.