Active NPI
Jennifer Shunk
- Audiologist
- Tolono, IL
National Provider Identifier
1164549192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147000977
- Practice address
- 503 Deerpath St
Tolono, IL 61880-9017 - Phone
- (217) 840-3068
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.96 of 100
- Quality
- 69.5
- Promoting interoperability
- 100
- Improvement activities
- 40
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 147000977 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
503 Deerpath St
Tolono, IL 61880-9017
Mailing address
503 Deerpath St
Tolono, IL 61880-9017
Phone (217) 840-3068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 14, 2024.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1164549192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 DEERPATH ST",
"city": "TOLONO",
"state": "IL",
"postal_code": "618809017",
"telephone_number": "217-840-3068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 DEERPATH ST",
"city": "TOLONO",
"state": "IL",
"postal_code": "618809017",
"telephone_number": "217-840-3068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUNK",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2024-05-14",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147000977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tolono, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.