Organization Active NPI

Nelson Audiology, LTD

  • Audiologist
  • Litchfield, IL
National Provider Identifier
1124172820
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147-000098 Issued in IL
Legal business name
NELSON AUDIOLOGY, LTD
Practice address
220 E Ryder St
Litchfield, IL 62056-2033
Phone
(217) 324-2433
Fax
(217) 324-3377
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Dr. Stephanie Broom Nelson, AU.D.
Title
President Owner
Phone
(217) 324-2433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 147-000098 IL Primary

Addresses

Primary practice location

220 E Ryder St
Litchfield, IL 62056-2033

Mailing address

220 E Ryder St
Litchfield, IL 62056-2033
Phone (217) 324-2433

Other identifiers 1

IdentifierTypeStateIssuer
360529808001MedicaidIL

National Provider Directory

National Provider Directory

Locations

220 E Ryder St
Litchfield, IL 62056
Phone (217) 324-2433

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1124172820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E RYDER ST",
            "city": "LITCHFIELD",
            "state": "IL",
            "postal_code": "620562033",
            "telephone_number": "217-324-2433",
            "fax_number": "217-324-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E RYDER ST",
            "city": "LITCHFIELD",
            "state": "IL",
            "postal_code": "620562033",
            "telephone_number": "217-324-2433",
            "fax_number": "217-324-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON AUDIOLOGY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "BROOM",
        "authorized_official_title_or_position": "PRESIDENT    OWNER",
        "authorized_official_telephone_number": "217-324-2433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147-000098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360529808001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.