Active NPI
Jessica J Messersmith, PH.D., CCC-A
- Audiologist
- Vermillion, SD
National Provider Identifier
1992038863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 267A
- Practice address
- 414 E Clark St
Vermillion, SD 57069-2307 - Phone
- (605) 677-5772
- NPI assigned
- Sep 10, 2009
- Last updated
- Sep 10, 2009
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 267A | SD | Primary |
| Assistive Technology Practitioner Audiologist | 231HA2400X | 267A | SD | |
| Assistive Technology Supplier Audiologist | 231HA2500X | 267A | SD | |
| Audiologist-Hearing Aid Fitter | 237600000X | 267A | SD |
Addresses
Primary practice location
414 E Clark St
Vermillion, SD 57069-2307
Mailing address
414 E Clark St
Vermillion, SD 57069-2307
Phone (605) 677-5772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3515 Broadway Ave
Yankton, SD 57078-4917
Phone (605) 668-3107
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 267A | SD | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of South Dakota | Current | Accepting new patients |
Locations
500 E Capitol Ave
#212
Pierre, SD 57501
3515 Broadway Ave
Yankton, SD 57078
Phone (605) 668-3100
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252540800000",
"number": "1992038863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 E CLARK ST",
"city": "VERMILLION",
"state": "SD",
"postal_code": "570692307",
"telephone_number": "605-677-5772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 E CLARK ST",
"city": "VERMILLION",
"state": "SD",
"postal_code": "570692307",
"telephone_number": "605-677-5772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESSERSMITH",
"first_name": "JESSICA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PH.D., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-10",
"last_updated": "2009-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "SD",
"license": "267A",
"primary": true
},
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "SD",
"license": "267A",
"primary": false
},
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": "SD",
"license": "267A",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "SD",
"license": "267A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vermillion, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.