Individual provider Active NPI

Jill Johnson Raney, PH.D.

  • Audiologist
  • Wethersfield, CT
National Provider Identifier
1942551932
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000284 Issued in CT
Practice address
123 Progress Dr
Wethersfield, CT 06109-2450
Phone
(860) 529-4260
Fax
(860) 257-8500
NPI assigned
Oct 1, 2012
Last updated
Oct 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 000284 CT Primary

Addresses

Primary practice location

123 Progress Dr
Wethersfield, CT 06109-2450

Mailing address

123 Progress Dr
Wethersfield, CT 06109-2450
Phone (860) 529-4260

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
000284CTMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1942551932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 PROGRESS DR",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061092450",
            "telephone_number": "860-529-4260",
            "fax_number": "860-257-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 PROGRESS DR",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061092450",
            "telephone_number": "860-529-4260",
            "fax_number": "860-257-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANEY",
        "first_name": "JILL",
        "middle_name": "JOHNSON",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CT",
            "license": "000284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wethersfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.