Individual provider Active NPI

Jessica Witt, AUD

  • Audiologist
  • Chester, PA
National Provider Identifier
1952086175
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT006948 Issued in PA
Practice address
2112 Providence Ave
Chester, PA 19013-5507
Phone
(610) 600-1005
NPI assigned
Jun 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 202293 AR
Audiologist-Hearing Aid Fitter 237600000X 202293 AR
Hearing Instrument Specialist 237700000X
Audiologist 231H00000X AT006948 PA Primary

Addresses

Primary practice location

2112 Providence Ave
Chester, PA 19013-5507

Mailing address

2112 Providence Ave
Chester, PA 19013-5507
Phone (610) 600-1005

Other practice location 1

501 Jack Stephens Dr Fl 3
Little Rock, AR 72205-5551
Phone (501) 686-5878

Other practice location 2

3509 N Broad St
Philadelphia, PA 19140-4105
Phone (844) 570-1767

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240606000908 PA Practitioner - Qualified Audiologist 2668827247 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Ear Nose and Throat Associates IncGroup PAC ID 1456349497, 12 clinicians

Practice addresses (Care Compare)

2112 Providence Ave
Chester, PA 19013-5507
Phone (610) 874-5366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
202293ARMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Hearing Aid Center Audiologist CurrentSince Feb 1, 2025 Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince May 15, 2024 Accepting new patients
Providence Ear Nose & Throat Associates Inc CurrentSince Feb 1, 2025 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince May 15, 2024 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Pinnacle ENT Alliance LLC CurrentSince Oct 5, 2025 Accepting new patients

Locations

2112 Providence Ave
Chester, PA 19013
Phone (610) 600-1005

500 Evergreen Dr
Ste 18
Glen Mills, PA 19342
Phone (610) 459-3495

301 W Chester Pike
Ste 101
Havertown, PA 19083
Phone (610) 446-6900

1098 W Baltimore Pike
Ste 3406
Media, PA 19063
Phone (610) 600-1005

3509 N Broad St
Philadelphia, PA 19140
Phone (215) 707-2433

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1952086175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 PROVIDENCE AVE",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190135507",
            "telephone_number": "610-600-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 PROVIDENCE AVE",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190135507",
            "telephone_number": "610-600-1005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Jack Stephens Dr Fl 3",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722055551",
            "country_code": "US",
            "telephone_number": "501-686-5878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3509 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191404105",
            "country_code": "US",
            "telephone_number": "844-570-1767",
            "fax_number": "215-707-6676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITT",
        "first_name": "JESSICA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AR",
            "license": "202293",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AR",
            "license": "202293",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.