Active NPI
Ann Youngman, HIS
- Hearing Instrument Specialist
- Bloomington, IL
National Provider Identifier
1164738175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- Y525-0528-2707
- Practice address
- 2412 E Washington St
Bloomington, IL 61704-4497 - Phone
- (309) 696-4268
- Fax
- (309) 693-2776
- NPI assigned
- Aug 27, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | Y525-0528-2707 | IL | Primary |
Addresses
Primary practice location
2412 E Washington St
Bloomington, IL 61704-4497
Mailing address
2412 E Washington St
Bloomington, IL 61704-4497
Phone (309) 696-4268
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Y525-0528-2707 | IL | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318896000000",
"number": "1164738175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2412 E WASHINGTON ST",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617044497",
"telephone_number": "309-696-4268",
"fax_number": "309-693-2776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2412 E WASHINGTON ST",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617044497",
"telephone_number": "309-696-4268",
"fax_number": "309-693-2776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNGMAN",
"first_name": "ANN",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-27",
"last_updated": "2011-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IL",
"license": "Y525-0528-2707",
"primary": true
}
],
"identifiers": [],
"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 Oct 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.