Candice J. M. Osenga, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

147-001150 Issued in IL

Practice address

275 South University Street
211 Rachel Cooper
Normal, IL 61761

Phone

(309) 438-8641

Fax

(309) 438-5221

NPI assigned

Jul 16, 2006

Sex

Female

Sole proprietor

No

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.

• Illinois State University

  • Audiologist-Hearing Aid Fitter
  • Normal, IL
  • NPI 1669616983

  IL

  Medicare reassignment Care Compare group NPD

Specialty

Qualified Audiologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Illinois State University 10 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 12, 2012.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1194742007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CAMPUS BOX 4720",
            "address_2": "ECKELMANN-TAYLOR SPEECH AND HERAING CLINIC",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617904720",
            "telephone_number": "309-438-8641",
            "fax_number": "309-438-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 SOUTH UNIVERSITY STREET",
            "address_2": "211 RACHEL COOPER",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "61761",
            "telephone_number": "309-438-8641",
            "fax_number": "309-438-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSENGA",
        "first_name": "CANDICE",
        "middle_name": "J. M.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147-001150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NO.",
            "identifier": "207414",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orthopedic & Sports Medicine Center
• Orthopedics of Illinois - the Bone Joint and Sports Medicine Center S
• Orthopedics of Illinois - the Bone, Joint, and Sports Medicine Center
• Orthoworks, S.C.
• Lori A. Osborne, MSW, LCSW
• Osf Multi-Specialty Group
• Osf Multi-Specialty Group
• Ashley Overberg, RN
• Desiree A Padilla, IONM TECHNOLOGIST
• Ivy Megan Paige, CST

• All providers in Normal, IL
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.