Active NPI
Deanna Marie Ginder-West, M.S., CCC-A
- Audiologist
- Bloomington, IL
National Provider Identifier
1205245719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147.000838
- Practice address
- 2101 Eastland Dr Ste F
Bloomington, IL 61704-3510 - Phone
- (309) 664-6200
- NPI assigned
- Aug 8, 2014
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 147.000838 | IL | Primary |
Addresses
Primary practice location
2101 Eastland Dr Ste F
Bloomington, IL 61704-3510
Mailing address
2101 Eastland Dr Ste F
Bloomington, IL 61704-3510
Phone (309) 664-6200
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147.000838 | IL | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407456000000",
"number": "1205245719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 EASTLAND DR STE F",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617043510",
"telephone_number": "309-664-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 EASTLAND DR STE F",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617043510",
"telephone_number": "309-664-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GINDER-WEST",
"first_name": "DEANNA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-08",
"last_updated": "2014-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147.000838",
"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 Aug 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.