Active NPI
Kerri Schackmann
- Hearing Instrument Specialist
- Effingham, IL
National Provider Identifier
1083028559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 3011
- Practice address
- 212 E Jefferson Ave Ste 2
Effingham, IL 62401-3458 - Phone
- (217) 342-0304
- NPI assigned
- Jun 12, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 3011 | IL | Primary |
Addresses
Primary practice location
212 E Jefferson Ave Ste 2
Effingham, IL 62401-3458
Mailing address
212 E Jefferson Ave Ste 2
Effingham, IL 62401-3458
Phone (217) 342-0304
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3011 | IL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schackmann Hearing Group LLC | Hearing Instrument Specialist | Current | Accepting new patients |
Locations
212 E Jefferson Ave
Ste 2
Effingham, IL 62401
Phone (217) 342-0304
Organizations & group practices 1
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.
-
- Hearing Instrument Specialist
- Effingham, IL
- NPI 1891308573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639612800000",
"number": "1083028559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 E JEFFERSON AVE STE 2",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624013458",
"telephone_number": "217-342-0304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 E JEFFERSON AVE STE 2",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624013458",
"telephone_number": "217-342-0304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHACKMANN",
"first_name": "KERRI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-12",
"last_updated": "2021-12-16",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IL",
"license": "3011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Effingham, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.