Sheila Kutz, AUD., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

147-00177 Issued in IL

Practice address

310 S 3Rd St
Greenville, IL 62246-1733

Phone

(618) 664-1146

Fax

(618) 664-4576

NPI assigned

Nov 21, 2006

Last updated

Aug 16, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greenville Hearing Center, Inc.

  • Audiologist
  • Greenville, IL
  • NPI 1679648885
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1396810792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 SOUTH 3RD STREET",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461733",
            "telephone_number": "618-664-1146",
            "fax_number": "618-664-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S 3RD ST",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461733",
            "telephone_number": "618-664-1146",
            "fax_number": "618-664-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTZ",
        "first_name": "SHEILA",
        "name_prefix": "Dr.",
        "credential": "AUD., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147-00177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0000332001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "4500135",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK INSURANCE",
            "identifier": "478224",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bary Michael Klevene, MD
• Rebecca Dawn Klitzke
• Kristi Korte, M.S. CCC-SLP
• Maggie Krumwiede, PHARMD
• Dianah Sue Kuhl, BA, LMT
• Alison Lanter, LSW
• Andrea Kathleen Lassor, B.S, D.T.
• Benjamin William Leacock
• Jessica Ann Legault
• Jennifer Logue

• Audiologist in Greenville, IL
• Providers in Greenville, IL by specialty
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.