Individual provider Active NPI

Carolyn Collins Yuille

  • Audiologist-Hearing Aid Fitter
  • Glendora, CA
National Provider Identifier
1063601201
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU2509 Issued in CA
Practice address
1135 E Route 66
Ste 111
Glendora, CA 91740-3700
Phone
(626) 914-5661
Fax
(626) 335-1570
NPI assigned
Oct 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AU2509 CA Primary

Addresses

Primary practice location

1135 E Route 66
Ste 111
Glendora, CA 91740-3700

Mailing address

5000 Cheshire Pkwy N
Plymouth, MN 55446-4103
Phone (763) 268-4115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071217000744 CA Practitioner - Qualified Audiologist 8527158328 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AU2509CAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Dynamic Enterpris Inc. CurrentSince Oct 8, 2007 Accepting new patients
Hearing Clinic & Speech Health Services & Sales, Inc. Audiologist-Hearing Aid Fitter PastSince Jul 5, 2016 Accepting new patients
Sonus-USA, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients
Serendipity Hearing Inc Audiologist-Hearing Aid Fitter PastSince Sep 15, 2012 Accepting new patients

Locations

4195 Chino Hills Pkwy
Ste 172
Chino Hills, CA 91709

3233 Grand Ave
Ste 329
Chino Hills, CA 91709

1700 Alameda St
Pomona, CA 91768
Phone (909) 397-9247

984 W Foothill Blvd
Upland, CA 91786
Phone (909) 373-1027

Organizations & group practices 4

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

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hearing Dynamic Enterpris Inc. 3 clinicians

Practice addresses (Care Compare)

1700 Alameda St
Pomona, CA 91768-1727
Phone (909) 397-9247

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1063601201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CHESHIRE PKWY N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554464103",
            "telephone_number": "763-268-4115",
            "fax_number": "763-268-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 E ROUTE 66",
            "address_2": "STE 111",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917403700",
            "telephone_number": "626-914-5661",
            "fax_number": "626-335-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUILLE",
        "first_name": "CAROLYN",
        "middle_name": "COLLINS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU2509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.

Verify at the official NPI Registry.