Active NPI
Jessica Elaine Pierce, AUD, PHD
- Audiologist
- Fort Liberty, NC
National Provider Identifier
1942577382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 1-2539 R Miller St
Fort Liberty, NC 28310-0001 - Phone
- (910) 643-2226
- NPI assigned
- Nov 30, 2011
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | NC | Primary |
Addresses
Primary practice location
1-2539 R Miller St
Fort Liberty, NC 28310-0001
Mailing address
1-2539 R Miller St
Fort Liberty, NC 28310-0001
Phone (910) 643-2226
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 176JA | Other | NC | BCBSNC |
| 1942577382 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1942577382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1-2539 R MILLER ST",
"city": "FORT LIBERTY",
"state": "NC",
"postal_code": "283100001",
"telephone_number": "910-643-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1-2539 R MILLER ST",
"city": "FORT LIBERTY",
"state": "NC",
"postal_code": "283100001",
"telephone_number": "910-643-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "JESSICA",
"middle_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "AUD, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-30",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "176JA",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1942577382",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Liberty, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.