Active NPI
Nelson Audiology PLLC
- Audiologist
- Litchfield, IL
National Provider Identifier
1154094340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- NELSON AUDIOLOGY PLLC
- Practice address
- 220 E Ryder St
Litchfield, IL 62056-2033 - Phone
- (217) 324-2433
- Fax
- (217) 324-3377
- NPI assigned
- Jul 26, 2021
- 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
- Deanna Marie Boston, AUD
- Title
- Audilogist
- Phone
- (217) 324-2433
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211203000244 | IL | Part B Supplier - Clinic/Group Practice | 6305236464 |
Receives reassigned benefits from 1 practitioner Practice locations: Litchfield, IL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Litchfield, IL
- NPI 1720130065
-
- Audiologist
- Jacksonville, IL
- NPI 1184077554
-
- Audiologist
- Litchfield, IL
- NPI 1396898466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634083200000",
"number": "1154094340",
"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 PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-26",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A",
"authorized_official_last_name": "BOSTON",
"authorized_official_first_name": "DEANNA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "AUDILOGIST",
"authorized_official_telephone_number": "217-324-2433",
"authorized_official_credential": "AUD"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.