Active NPI
Janet L. Depalma, AUD
- Assistive Technology Practitioner Audiologist
- Rockford, IL
National Provider Identifier
1104943331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Practitioner Audiologist
- License
- 147-000168
- Practice address
- 435 N Mulford Rd
Suite #10a
Rockford, IL 61107-5189 - Phone
- (815) 399-5279
- Fax
- (815) 399-3764
- NPI assigned
- Mar 23, 2007
- 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 |
|---|---|---|---|---|
| Assistive Technology Practitioner Audiologist | 231HA2400X | 147-000168 | IL | Primary |
Addresses
Primary practice location
435 N Mulford Rd
Suite #10a
Rockford, IL 61107-5189
Mailing address
1047 W Stone Creek Cir
Crystal Lake, IL 60014-1939
Phone (815) 459-2559
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147-000168 | IL | MD | Assistive Technology Practitioner Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368576000000",
"number": "1104943331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1047 W STONE CREEK CIR",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600141939",
"telephone_number": "815-459-2559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 N MULFORD RD",
"address_2": "SUITE #10A",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611075189",
"telephone_number": "815-399-5279",
"fax_number": "815-399-3764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPALMA",
"first_name": "JANET",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2013-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "IL",
"license": "147-000168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.