Individual provider Active NPI

Terry O'Neill Yanaway, AU.D.

  • Audiologist
  • Storrs Mansfield, CT
National Provider Identifier
1497052385
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
278 Issued in CT
Practice address
850 Bolton Rd
Unit 1085
Storrs Mansfield, CT 06269-1085
Phone
(860) 486-2629
Fax
(860) 486-4948
NPI assigned
Feb 11, 2011
Last updated
Jun 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 278 CT Primary

Addresses

Primary practice location

850 Bolton Rd
Unit 1085
Storrs Mansfield, CT 06269-1085

Mailing address

850 Bolton Rd
Unit 1085
Storrs Mansfield, CT 06269-1085
Phone (860) 486-2629

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111206000183 CT Practitioner - Qualified Audiologist 5597930362 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
At Still University, Arizona School of Dentistry & Oral HLTH, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The University of ConnecticutGroup PAC ID 2062507817, 7 clinicians

Practice addresses (Care Compare)

2 Alethia Dr
U 1085
Storrs, CT 06269-1085
Phone (860) 486-2629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
278CTMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Connecticut Health Center CurrentSince Nov 15, 2011 Accepting new patients
University of Connecticut Audiologist CurrentSince May 1, 2022 Accepting new patients
University of Connecticut Health Center CurrentSince Nov 15, 2011 Accepting new patients
University of Connecticut Health Center Past Accepting new patients
University of Connecticut Student Health and Wellness PastSince May 1, 2022 Accepting new patients

Locations

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

2 Alethia Dr
#U1085
Storrs Mansfield, CT 06269
Phone (860) 486-2629

850 Bolton Rd
Storrs Mansfield, CT 06269
Phone (860) 486-2629

850 Bolton Rd
Unit 1085
Storrs Mansfield, CT 06269
Phone (860) 486-2817

Organizations & group practices 5

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": "1297382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1497052385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 BOLTON RD",
            "address_2": "UNIT 1085",
            "city": "STORRS MANSFIELD",
            "state": "CT",
            "postal_code": "062691085",
            "telephone_number": "860-486-2629",
            "fax_number": "860-486-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 BOLTON RD",
            "address_2": "UNIT 1085",
            "city": "STORRS MANSFIELD",
            "state": "CT",
            "postal_code": "062691085",
            "telephone_number": "860-486-2629",
            "fax_number": "860-486-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANAWAY",
        "first_name": "TERRY",
        "middle_name": "O'NEILL",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-11",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CT",
            "license": "278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Storrs Mansfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.