Tyrel Jackson, H.A.D

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

3501008068 Issued in MI

Practice address

400 S State St # 400
Zeeland, MI 49464-2067

Phone

(616) 207-8794

NPI assigned

Jul 3, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1942987789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 CLAYTON AVE NW",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495343511",
            "telephone_number": "616-406-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S STATE ST # 400",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494642067",
            "telephone_number": "616-207-8794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TYREL",
        "credential": "H.A.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MI",
            "license": "3501008068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Scott Humphrey, MD
• Makenzie Hutchinson
• Yeseul Hwang
• Infinity Consultation Group
• Madison Ipema
• Rebekah Jacobs
• Jamie Curtis Counseling
• Kevin Thomas Jarmolowicz, RPH.
• Daniel James Jensen, DDS
• Joel Whitney, Counselor, PLC

• Hearing Instrument Specialist in Zeeland, MI
• Providers in Zeeland, MI by specialty
• Hearing Instrument Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.