Individual provider Active NPI

Taylor Bender, AUD.

  • Audiologist
  • Palatine, IL
National Provider Identifier
1427715002
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147.001865 Issued in IL
Practice address
305 E Northwest Hwy
Palatine, IL 60067-8116
Phone
(847) 358-2896
NPI assigned
Nov 18, 2021
Reactivated
Jun 7, 2024
Last updated
Jun 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147.001865 IL Primary

Addresses

Primary practice location

305 E Northwest Hwy
Palatine, IL 60067-8116

Mailing address

2640 Snowbird LN
Naperville, IL 60564-5747
Phone (630) 853-0210

Other names 1

  • Taylor St. Peter Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220712003802 IL Practitioner - Qualified Audiologist 2163802968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Hearing Doctors IncGroup PAC ID 8224130612, 2 clinicians

Practice addresses (Care Compare)

311 S County Farm Rd
Suite D
Wheaton, IL 60187-2477
Phone (630) 752-9505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Hearing Doctors Inc Audiologist CurrentSince Jun 1, 2024 Accepting new patients
Hearing Care of Palatine, Inc. Audiologist PastSince Nov 21, 2021 Accepting new patients

Locations

311 S County Farm Rd
Ste D
Wheaton, IL 60187
Phone (630) 752-9505

Organizations & group practices 2

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": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1427715002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 SNOWBIRD LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645747",
            "telephone_number": "630-853-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600678116",
            "telephone_number": "847-358-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "TAYLOR",
        "credential": "AUD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2024-06-07",
        "certification_date": "2021-11-18",
        "deactivation_date": "2024-05-28",
        "reactivation_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147.001865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "ST. PETER",
            "credential": "AUD.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.