Individual provider Active NPI

Natalie M McKee, AU.D.

  • Audiologist
  • Bloomington, IL
National Provider Identifier
1346338605
Registry record updated Dec 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147001154 Issued in IL
Practice address
816 S Eldorado Rd
Unit 1 and 2a
Bloomington, IL 61704-6000
Phone
(309) 662-8346
Fax
(309) 662-0479
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2017

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 174-001154 IL
Audiologist 231H00000X 147001154 IL Primary

Addresses

Primary practice location

816 S Eldorado Rd
Unit 1 and 2a
Bloomington, IL 61704-6000

Mailing address

816 S Eldorado Rd
Unit 1 and 2a
Bloomington, IL 61704-6000
Phone (309) 662-8346

Other identifiers 2

IdentifierTypeStateIssuer
P00295190OtherILRAILROAD MEDICARE
147001154OtherILLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050713001049 IL Practitioner - Qualified Audiologist 9931135696 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Audiology Innovations, P.C.Group PAC ID 4587812631, 4 clinicians

Practice addresses (Care Compare)

816 S Eldorado Rd
Suite 1
Bloomington, IL 61704-6035
Phone (309) 662-8346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147001154ILMDAudiologist
174-001154ILMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Innovations, P.C. Audiologist CurrentSince Jul 9, 2012 Accepting new patients
Central Illinois Institute of Balance LLC Audiologist CurrentSince Oct 20, 2011 Accepting new patients
Bloomington Normal Audiology Audiologist Past Accepting new patients

Locations

816 S Eldorado Rd
Ste 2
Bloomington, IL 61704
Phone (309) 662-8346

816 S Eldorado Rd
Ste 1
Bloomington, IL 61704
Phone (309) 662-8346

1404 Eastland Dr
Ste 203
Bloomington, IL 61701
Phone (309) 662-8346

211 Landmark Dr
Ste E3
Normal, IL 61761
Phone (309) 454-7337

211 Landmark Dr
Ste E
Normal, IL 61761
Phone (309) 663-4900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514246400000",
    "number": "1346338605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 S ELDORADO RD",
            "address_2": "UNIT 1 AND 2A",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617046000",
            "telephone_number": "309-662-8346",
            "fax_number": "309-662-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 S ELDORADO RD",
            "address_2": "UNIT 1 AND 2A",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617046000",
            "telephone_number": "309-662-8346",
            "fax_number": "309-662-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "NATALIE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2017-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IL",
            "license": "174-001154",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00295190",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "147001154",
            "state": "IL"
        }
    ],
    "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 Dec 26, 2017; 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.