Koretta G Sykes

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

3336 Issued in IL

Practice address

1517 S 12TH St
Quincy, IL 62301-6759

Phone

(217) 228-1974

NPI assigned

Mar 27, 2020

Last updated

Mar 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: quincy@frasierenterprises.com

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

• Chicago Hearing LLC

  dba Miracle Ear

  • Hearing Aid Equipment
  • Chicago, IL
  • NPI 1366814329
  NPD (past)

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1083242044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 ELM ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013535",
            "telephone_number": "217-617-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 S 12TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623016759",
            "telephone_number": "217-228-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYKES",
        "first_name": "KORETTA",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": "3336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "quincy@frasierenterprises.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1517 S 12th St",
            "city": "Quincy",
            "state": "IL",
            "country_code": "US",
            "postal_code": "623016759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Superior Performance Eye Care Services, Inc (Specs)
• Conward Matthew Swift II, PHARMD, MBA
• Hollis Stephen Swink, MA, ICCS, LCPC, CAAD
• Sycamore Healthcare Centre
• Sycamore Operator LLC
• Malik Sylvester, BS MHP
• Mackenzi Jo Tallcott, M.S., CCC-SLP
• Roula Y. Tanios, M.D.
• Diane Tappe
• Kori C Tappe, CLD CPD CLSE LMT

• Hearing Instrument Specialist in Quincy, IL
• Providers in Quincy, IL by specialty
• Hearing Instrument Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.