Leigh Ann Tackaberry, M.A., F-AAA

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

Practice address

435 N Mulford Rd Ste 10
Rockford, IL 61107-5100

Phone

(815) 399-5279

Fax

(815) 399-3764

NPI assigned

Aug 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lawrence Clayton and Associates LLCGroup PAC ID 1557394236, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Lawrence Clayton & Associates, LLC

  • Audiologist-Hearing Aid Fitter
  • Rockford, IL
  • NPI 1659552701
  Medicare reassignment Care Compare group NPD Authorized official
• Doctors of Hearing Healthcare East, LLC

  • Audiologist
  • Lake Barrington, IL
  • NPI 1053196360
  Medicare reassignment NPD
• Ear Nose & Throat Specialists of Rockford SC

  • Preferred Provider Organization
  • Rockford, IL
  • NPI 1740491745
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316053523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N MULFORD RD STE 10",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075100",
            "telephone_number": "815-399-5279",
            "fax_number": "815-399-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N MULFORD RD STE 10",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075100",
            "telephone_number": "815-399-5279",
            "fax_number": "815-399-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACKABERRY",
        "first_name": "LEIGH ANN",
        "credential": "M.A., F-AAA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Syverson
• Madison Michelle-Saelens Syvertsen, OTR
• Katie Lynn Szarzynski, LCSW
• Elise Christine Tabary Remsen, RD,LDN
• Andrea Tack
• Steven Ronald Taddei, AU.D.
• Luis Tafolla
• Dominic Tagler
• Hena Tahir, OD, MS
• Tetsuya Takeuchi, M.D.

• Audiologist-Hearing Aid Fitter in Rockford, IL
• Providers in Rockford, IL by specialty
• Audiologist-Hearing Aid Fitter in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.