Active NPI
Terry O'Neill Yanaway, AU.D.
- Audiologist
- Storrs Mansfield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 278
- 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, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 278 | CT | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Connecticut Health Center | Current | Accepting new patients | |
| University of Connecticut | Audiologist | Current | Accepting new patients |
| University of Connecticut Health Center | Current | Accepting new patients | |
| University of Connecticut Health Center | Past | Accepting new patients | |
| University of Connecticut Student Health and Wellness | Past | 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.
-
dba University of Connecticut Speech & Hearing Clinic
- Audiologist
- Storrs, CT
- NPI 1114011830
-
dba University Physicians
- General Practice Physician
- Farmington, CT
- NPI 1720083769
-
dba University Physicians
- Durable Medical Equipment & Medical Supplies
- Farmington, CT
- NPI 1104809375
-
- Clinical Medical Laboratory
- Farmington, CT
- NPI 1427031293
-
- Student Health Clinic/Center
- Storrs Mansfield, CT
- NPI 1629097043
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.