Individual provider Active NPI

Jamie Malynn Hubbard-Parker, AUD

  • Audiologist
  • Salem, OR
National Provider Identifier
1972084812
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
30927 Issued in OR
Practice address
3099 River Rd S # 120
Salem, OR 97302-9754
Phone
(503) 485-2581
NPI assigned
Aug 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 30927 OR Primary

Addresses

Primary practice location

3099 River Rd S # 120
Salem, OR 97302-9754

Mailing address

3099 River Rd S
Ste 150
Salem, OR 97302-9754
Phone (503) 485-2571

Other names 1

  • Jamie Malynn Hubbard Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181009002598 OR Practitioner - Qualified Audiologist 9032461603 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30927ORMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Willamette Ear Nose & Throat LLP CurrentSince Sep 5, 2018 Accepting new patients

Locations

3099 River Rd S
Ste 150
Salem, OR 97302
Phone (503) 485-2581

3099 River Rd S
Ste 120
Salem, OR 97302
Phone (503) 485-2581

3099 River Rd S
#120
Salem, OR 97302
Phone (503) 485-2581

Organizations & group practices 1

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": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1972084812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3099 RIVER RD S",
            "address_2": "STE 150",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973029754",
            "telephone_number": "503-485-2571",
            "fax_number": "503-485-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3099 RIVER RD S # 120",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973029754",
            "telephone_number": "503-485-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD-PARKER",
        "first_name": "JAMIE",
        "middle_name": "MALYNN",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "30927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "HUBBARD",
            "middle_name": "MALYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.