Individual provider Active NPI

Arica Jean Rock, M.S., CCC-A

  • Audiologist
  • Bloomington, IL
National Provider Identifier
1164624706
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147001157 Issued in IL
Practice address
816 S Eldorado Rd Ste 1
Bloomington, IL 61704-6035
Phone
(309) 662-8346
Fax
(309) 662-0479
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 147-001157 IL
Audiologist 231H00000X 147001157 IL Primary

Addresses

Primary practice location

816 S Eldorado Rd Ste 1
Bloomington, IL 61704-6035

Mailing address

816 S Eldorado Rd Ste 1
Bloomington, IL 61704-6035
Phone (309) 662-8346

Other identifiers 1

IdentifierTypeStateIssuer
147001157OtherILLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070713000319 IL Practitioner - Qualified Audiologist 9830299262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Audiology Innovations, P.C.Group PAC ID 4587812631, 4 clinicians

Practice addresses (Care Compare)

816 S Eldorado Rd
Suite 1
Bloomington, IL 61704-6035
Phone (309) 662-8346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
147-001157ILMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Innovations, P.C. Audiologist CurrentSince Jul 9, 2012 Accepting new patients
Bloomington Normal Audiology Audiologist Past Accepting new patients

Locations

816 S Eldorado Rd
Ste 2
Bloomington, IL 61704
Phone (309) 662-8346

816 S Eldorado Rd
Ste 1
Bloomington, IL 61704
Phone (309) 662-8346

1404 Eastland Dr
Ste 203
Bloomington, IL 61701
Phone (309) 662-8346

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1164624706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 S ELDORADO RD STE 1",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617046035",
            "telephone_number": "309-662-8346",
            "fax_number": "309-662-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 S ELDORADO RD STE 1",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617046035",
            "telephone_number": "309-662-8346",
            "fax_number": "309-662-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCK",
        "first_name": "ARICA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IL",
            "license": "147-001157",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "147001157",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.