Stephanie Broom Nelson, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

Practice address

220 E Ryder St
Litchfield, IL 62056-2033

Phone

(217) 324-2433

Fax

(217) 324-3377

NPI assigned

Jan 19, 2007

Last updated

Jul 8, 2007By 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Nelson Audiology, LTD

  • Audiologist
  • Litchfield, IL
  • NPI 1124172820
  Authorized official Same address or phone
• Nelson Audiology PLLC

  • Audiologist
  • Litchfield, IL
  • NPI 1154094340
  NPD

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396898466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E RYDER ST",
            "city": "LITCHFIELD",
            "state": "IL",
            "postal_code": "620562033",
            "telephone_number": "217-324-2433",
            "fax_number": "217-324-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E RYDER ST",
            "city": "LITCHFIELD",
            "state": "IL",
            "postal_code": "620562033",
            "telephone_number": "217-324-2433",
            "fax_number": "217-324-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "STEPHANIE",
        "middle_name": "BROOM",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "0006884001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Motion 365 Medical Supply LLC
• Amy J Mullins, D.C.
• Debbie Elizabeth Musgrave, CCC-SLP
• Nelson Audiology PLLC
• Nelson Audiology, LTD
• Laurie Nolan, CCC/CLP
• Northland Hearing Centers, Inc (Northland Hearing Centers, Inc. dba Audibel Hearing Center)
• Meagan Elizabeth Nowlan, MD
• Abigayle Ochs, PA-C
• Timothy J Oyer, RPH

• Audiologist in Litchfield, IL
• Providers in Litchfield, IL by specialty
• Audiologist 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.