BLOOMINGTON NORMAL AUDIOLOGY (NPI# 1740378074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740378074 |
Entity Type | Organization |
Organization Name | BLOOMINGTON NORMAL AUDIOLOGY |
Practice Address |
1404 Eastland Dr Suite 203 Bloomington IL 61701-3532 |
Mailing Address |
1404 Eastland Drive Suite 203 Bloomington IL 61701 |
Practice Telephone | 3096628346 |
Practice Fax Number | 3096620479 |
Mailing Telephone | 3096628346 |
Mailing Fax Number | 3096620479 |
Enumeration Date | 2006-10-11 |
Last Update Date | 2010-09-20 |
Authorized Official Name | DR. DEBORAH S PITCHER (AUDIOLOGIST OWNER MANAGER) |
Authorized Official Telephone | 3096628346 |
Authorized Official Credential | AUD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 237600000X | Audiologist-Hearing Aid Fitter | 147000437 | IL | Speech, Language and Hearing Service Providers |
N | 231HA2400X |
Audiologist Specialization: Assistive Technology Practitioner |
147000437 | IL | Speech, Language and Hearing Service Providers |
N | 231HA2500X |
Audiologist Specialization: Assistive Technology Supplier |
147000437 | IL | Speech, Language and Hearing Service Providers |
Y | 231H00000X | Audiologist | 147000437 | IL | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | HEALTH ALLIANCE | 093818 | 01 |
IL | RAILROAD MEDICARE | CC4558 | 01 |
IL | BCBS | 05715416 | 01 |
Street Address |
1404 EASTLAND DR SUITE 203 |
City | BLOOMINGTON |
State | IL |
Zip Code | 61701-3532 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972618726 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 1404 Eastland Dr, Unit 103, Bloomington, IL 61701-3532 | 2006-08-20 |
1760764385 | Kali A Fever | Nurse Practitioner | 1404 Eastland Dr, Suite 204, Bloomington, IL 61701-3532 | 2011-09-10 |
1578711586 | Erin S Redd | Nurse Practitioner | 1404 Eastland Dr, Suite 204, Bloomington, IL 61701-3532 | 2008-09-03 |
1730243056 | Kenneth Gerstein | Dentist | 1404 Eastland Dr, Bloomington, IL 61701-3532 | 2006-12-21 |
1093887283 | Daniel Lynn Milligan | Dentist | 1404 Eastland Dr, #102, Bloomington, IL 61701-3532 | 2006-11-14 |
1487747481 | Lawrence Alan Raines | Surgery | 1404 Eastland Dr, Ste 104, Bloomington, IL 61701 | 2006-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
Find all providers in zip 61701 |
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 |
---|---|---|---|---|
1225438948 | Catherine Hessig | Audiologist | 8001 Bloomington Freeway, Gn Hearing Care, Bloomington, MN 55420-1036 | 2014-08-29 |
1205245719 | Deanna Marie Ginder-west | Audiologist | 2101 Eastland Dr Ste F, Bloomington, IL 61704-3510 | 2014-08-08 |
1316213721 | Luis Camacho | Audiologist | 2011 N. Locust Ct., Bloomington, IN 47401 | 2012-03-29 |
1053606400 | Heather Lynn White | Audiologist | 5931 W State Road 46, Bloomington, IN 47404-9359 | 2011-06-14 |
1134364052 | Megan C Kuhn | Audiologist | Campus Box 4720, Illinois State University, Bloomington, IL 61790-4720 | 2008-12-05 |
1346338605 | Natalie M Mckee | Audiologist | 816 S Eldorado Rd, Unit 1 and 2a, Bloomington, IL 61704-6000 | 2006-10-11 |
1104914423 | Stacy Chalmers | Audiologist | 816 S Eldorado Rd Ste 1, Bloomington, IL 61704-6035 | 2006-10-11 |
1871503573 | Hoosier Hearing Solutions LLC | Audiologist | 1355 W Bloomfield Road, Suite 3, Bloomington, IN 47403-2052 | 2006-08-08 |
1285242768 | Kristin Johnson | Audiologist | 816 S Eldorado Rd Ste 1, Bloomington, IL 61704-6035 | 2020-07-21 |
1881218196 | Anne Louise Spence | Audiologist | 2920 S Mcintire Dr Ste 350, Bloomington, IN 47403-4215 | 2020-06-02 |
Find all providers in BLOOMINGTON |
City | BLOOMINGTON |
Zip Code | 61701 |
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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.