Active NPI
Nelson Audiology, LTD
- Audiologist
- Litchfield, IL
National Provider Identifier
1124172820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147-000098
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 360529808001 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
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.