Individual provider Active NPI

Stephanie Ann Newland, MS-CCC-A

  • Audiologist
  • Chicago, IL
National Provider Identifier
1063824746
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147.000477 Issued in IL
Practice address
541 W Briar PL
#503
Chicago, IL 60657-4662
Phone
(312) 405-8607
NPI assigned
May 29, 2014
Last updated
May 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147.000477 IL Primary

Addresses

Primary practice location

541 W Briar PL
#503
Chicago, IL 60657-4662

Mailing address

541 W Briar PL
#503
Chicago, IL 60657-4662
Phone (312) 405-8607

Other identifiers 1

IdentifierTypeStateIssuer
147.000477OtherILSTATE OF ILLINOIS LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
147.000477ILMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1063824746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 W BRIAR PL",
            "address_2": "#503",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574662",
            "telephone_number": "312-405-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 W BRIAR PL",
            "address_2": "#503",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574662",
            "telephone_number": "312-405-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWLAND",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MS-CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147.000477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS LICENSE NUMBER",
            "identifier": "147.000477",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.