Active NPI
Rebecca E. Young, AU.D.
- Audiologist
- Evansville, IN
National Provider Identifier
1477726602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 23002497A
- Practice address
- 1020 Professional Blvd
Evansville, IN 47714-8009 - Phone
- (812) 473-6093
- Fax
- (812) 476-5118
- NPI assigned
- Apr 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 000693 | IA | |
| Audiologist | 231H00000X | 23002497A | IN | Primary |
Addresses
Primary practice location
1020 Professional Blvd
Evansville, IN 47714-8009
Mailing address
1020 Professional Blvd
Evansville, IN 47714-8009
Phone (812) 473-6093
Other names 1
- Rebecca E. Benjamin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000693 | IA | MD | Athletic Trainer |
| 23002497A | IN | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT Clinic of Iowa, PC | Audiologist | Past | Accepting new patients |
Organizations & group practices 1
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": "1207699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307318400000",
"number": "1477726602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 PROFESSIONAL BLVD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477148009",
"telephone_number": "812-473-6093",
"fax_number": "812-476-5118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 PROFESSIONAL BLVD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477148009",
"telephone_number": "812-473-6093",
"fax_number": "812-476-5118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "REBECCA",
"middle_name": "E.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-09",
"last_updated": "2011-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IA",
"license": "000693",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IN",
"license": "23002497A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "BENJAMIN",
"middle_name": "E.",
"credential": "AU.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.