Active NPI
Patti Lynn Ally, MS
- Audiologist-Hearing Aid Fitter
- Peoria, IL
National Provider Identifier
1124093927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 147000515
- Practice address
- 5401 N Knoxville
Suite 116
Peoria, IL 61614-5021 - Phone
- (309) 282-0887
- Fax
- (309) 282-0947
- NPI assigned
- Feb 23, 2006
- 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 |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 147000515 | IL | Primary |
Addresses
Primary practice location
5401 N Knoxville
Suite 116
Peoria, IL 61614-5021
Mailing address
6 Victory Dr
Liberty, MO 64068-3807
Phone (816) 313-2800
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147000515 | IL | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patti L Ally | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
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.
-
- Audiologist-Hearing Aid Fitter
- Peoria, IL
- NPI 1013958941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308787200000",
"number": "1124093927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 VICTORY DR",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640683807",
"telephone_number": "816-313-2800",
"fax_number": "816-792-9819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 N KNOXVILLE",
"address_2": "SUITE 116",
"city": "PEORIA",
"state": "IL",
"postal_code": "616145021",
"telephone_number": "309-282-0887",
"fax_number": "309-282-0947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLY",
"first_name": "PATTI",
"middle_name": "LYNN",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2011-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "IL",
"license": "147000515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.