Terry O'Neill Yanaway, AU.D.
Individual provider Active NPI Audiologist · Storrs Mansfield, CT
NPI 1497052385 · NPPES record last updated Jun 14, 2012
Key facts
- NPI
- 1497052385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 278 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- 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 Connecticut
Practice addresses (Care Compare)
2 Alethia Dr
U 1085
Storrs, CT 06269-1085
Phone (860) 486-2629
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111206000183 | CT | Practitioner - Qualified Audiologist | 5597930362 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
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
850 Bolton Rd
Storrs Mansfield, CT 06269
Phone (860) 486-2629
2 Alethia Dr
#U1085
Storrs Mansfield, CT 06269
Phone (860) 486-2629
850 Bolton Rd
Unit 1085
Storrs Mansfield, CT 06269
Phone (860) 486-2629
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 278 | CT | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497052385 | Medicaid | CT |
Other providers in Storrs Mansfield, CT
- University of Connecticut
- University of Connecticut Student Health and Wellness
- Margaret Van Kuren
- Douglas M Whittemore
- Kacie Wittke
- Gregory Erik Zars
All providers in Storrs Mansfield, CT · Audiologist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.