Individual provider Active NPI

Cindy L Birdsall, HID

  • Hearing Instrument Specialist
  • Olney, IL
National Provider Identifier
1235594789
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
3200 Issued in IL
Practice address
1001 E Main St
Olney, IL 62450-2625
Phone
(618) 392-3633
Fax
(618) 393-7503
NPI assigned
Dec 29, 2015
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 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 IL
Hearing Instrument Specialist 237700000X 3200 IL Primary

Addresses

Primary practice location

1001 E Main St
Olney, IL 62450-2625

Mailing address

8800 SE Sunnyside Rd Ste 300N
Clackamas, OR 97015-5703
Phone (281) 286-2999

Other practice location 1

400 W Clark Ave Ste 107
Effingham, IL 62401-2689
Phone (217) 347-7204

Other practice location 2

400 W Clark Ave Ste 107
Effingham, IL 62401-2689
Phone (217) 347-7204

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

LicenseStateTypeSpecialty
3200ILMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Hearing Centers, Inc. Audiologist-Hearing Aid Fitter PastSince Jul 25, 2019 Accepting new patients
Northland Hearing Centers, Inc. Audiologist-Hearing Aid Fitter PastSince Jul 25, 2019 Accepting new patients
Northland Hearing Centers, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1235594789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 SE SUNNYSIDE RD STE 300N",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155703",
            "telephone_number": "281-286-2999",
            "fax_number": "512-607-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E MAIN ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624502625",
            "telephone_number": "618-392-3633",
            "fax_number": "618-393-7503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W Clark Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Effingham",
            "state": "IL",
            "postal_code": "624012689",
            "country_code": "US",
            "telephone_number": "217-347-7204",
            "fax_number": "217-347-9409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W Clark Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Effingham",
            "state": "IL",
            "postal_code": "624012689",
            "country_code": "US",
            "telephone_number": "217-347-7204",
            "fax_number": "217-347-9409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRDSALL",
        "first_name": "CINDY",
        "middle_name": "L",
        "credential": "HID",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": "3200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.