JILL ANNE PRUVOST (NPI# 1366456527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366456527 |
| Entity Type | Individual |
| Full Name | JILL ANNE PRUVOST |
| Credential | M.S., CCC-A |
| Practice Address |
7301 N Knoxville Ave Peoria IL 61614-2017 |
| Practice Telephone | 3095895900 |
| Practice Fax Number | 3096834120 |
| Mailing Telephone | 3095895900 |
| Mailing Fax Number | 3096834120 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2008-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 147.001201 | IL | Speech, Language and Hearing Service Providers |
| Street Address |
7301 N KNOXVILLE AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-2017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013916428 | Ira David Uretzky | Otolaryngology | 7301 N Knoxville Ave, Peoria Ear Nose & Throat, Peoria, IL 61614-2017 | 2005-07-18 |
| 1417557703 | Jessica Salim | Physical Medicine & Rehabilitation | 7301 N Knoxville Ave, Peoria, IL 61614-2017 | 2020-10-27 |
| 1578176418 | Jennifer Anne Meyer | Audiologist | 7301 N Knoxville Ave, Peoria, IL 61614-2017 | 2020-08-30 |
| 1134739931 | Jacey Gail Hoekstra | Audiologist | 7301 N Knoxville Ave, Peoria, IL 61614-2017 | 2020-08-06 |
| 1700431160 | Sawyer T Milam | Audiologist | 7301 N Knoxville Ave, Peoria, IL 61614-2017 | 2019-08-02 |
| 1861967234 | Nora Ashley Corll Martin | Audiologist-Hearing Aid Fitter | 7301 N Knoxville Ave, Peoria, IL 61614-2017 | 2018-10-11 |
| 1508065558 | James J Klemens | Otolaryngology | 7301 N Knoxville Ave, Peoria, IL 61614-2017 | 2007-07-11 |
| 1467576660 | Katherine D Wyman | Audiologist | 7301 N Knoxville Ave, Peoria, IL 61614-2017 | 2007-03-16 |
| 1194888677 | Facial Plastic & Laser Surgery | Clinic/Center | 7301 N Knoxville Ave, Peoria, IL 61614-2017 | 2006-12-18 |
| 1336181189 | Christopher D Lansford | Otolaryngology | 7301 N Knoxville Ave, Peoria, IL 61614-2017 | 2006-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| Find all providers in zip 61614 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
| 1972034262 | Sounds Good | Audiologist | 4016 N Prospect Rd, Peoria, IL 61614-7749 | 2017-03-27 |
| 1447438130 | Deborah Joanne Blaylock | Audiologist | 8877 W Union Hills Dr Ste 350, Peoria, AZ 85382-3026 | 2008-02-05 |
| 1558401661 | Trude Margaret Reiser | Audiologist | 300 E War Memorial Drive, Suite 202, Peoria, IL 61614-7551 | 2007-02-07 |
| 1689776049 | Carrie Morris | Audiologist | 8600 Rt 91 N, Ste 300, Peoria, IL 61615 | 2006-09-05 |
| 1972582468 | Sherry Lynn Miller | Audiologist | 13460 N 94th Dr, Ste G-2, Peoria, AZ 85381-4835 | 2006-01-12 |
| 1578176418 | Jennifer Anne Meyer | Audiologist | 7301 N Knoxville Ave, Peoria, IL 61614-2017 | 2020-08-30 |
| 1134739931 | Jacey Gail Hoekstra | Audiologist | 7301 N Knoxville Ave, Peoria, IL 61614-2017 | 2020-08-06 |
| 1700431160 | Sawyer T Milam | Audiologist | 7301 N Knoxville Ave, Peoria, IL 61614-2017 | 2019-08-02 |
| 1922580695 | Anna K Boyce | Audiologist | 200 E Pennsylvania Ave, Peoria, IL 61603-3089 | 2018-08-30 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.