Healthcare Provider Details

I. General information

NPI: 1699150565
Provider Name (Legal Business Name): JENNIFER MARIE WINTERS AU.D., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2015
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2151 E PECOS RD STE 1
CHANDLER AZ
85225-6098
US

IV. Provider business mailing address

2151 E PECOS RD STE 1 SUITE 1
CHANDLER AZ
85225-6098
US

V. Phone/Fax

Practice location:
  • Phone: 480-676-3322
  • Fax:
Mailing address:
  • Phone: 480-676-3322
  • Fax: 480-676-3523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number80793
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD.0000838
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberDA15965
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: