Jenessa Bolenbaugh

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

10196768 Issued in OR

Practice address

3250 Hillcrest Park Dr Ste 102
Medford, OR 97504-7684

Phone

(541) 773-7409

NPI assigned

Apr 7, 2020

Last updated

Apr 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• My Hearing Centers, LLC

  • Audiologist-Hearing Aid Fitter
  • Medford, OR
  • NPI 1013684083
  NPD
• My Hearing Centers, LLC

  • Audiologist-Hearing Aid Fitter
  • Sandy, UT
  • NPI 1316521719

  Hearing Instrument Specialist

  NPD (past)

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1982233250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 HILLCREST PARK DR STE 102",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047684",
            "telephone_number": "541-773-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 HILLCREST PARK DR STE 102",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047684",
            "telephone_number": "541-773-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLENBAUGH",
        "first_name": "JENESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OR",
            "license": "10196768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Medford",
            "affiliation": "N",
            "address_1": "3250 Hillcrest Park Dr Ste 102",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975047684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Toni R Boguslawski, MSPT
• Prima R. Bohall, B.E.D.
• Erica A Bohan, MD
• Kerry Boisen
• Michael Robert Boldt, DMD
• Sherrie Bolin
• Rebecca Lynn Bolling, NP
• Julius Matthew Bolus
• Alicia G Bond, MD
• Melisa Ann Bond

• Hearing Instrument Specialist in Medford, OR
• Providers in Medford, OR by specialty
• Hearing Instrument Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.