Active NPI
Ann Therese Laney, AUDIOLOGIST
- Audiologist
- Alton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147.000405
- Practice address
- 4 Memorial Dr Ste 230
Alton, IL 62002-6704 - Phone
- (618) 433-6416
- NPI assigned
- Sep 17, 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-Hearing Aid Fitter | 237600000X | 147.000405 | IL | |
| Audiologist | 231H00000X | 147.000405 | IL | Primary |
Addresses
Primary practice location
4 Memorial Dr Ste 230
Alton, IL 62002-6704
Mailing address
4 Memorial Dr Ste 230
Alton, IL 62002-6704
Phone (618) 433-6416
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4 Memorial Dr
Suite 230
Alton, IL 62002-6704
Phone (618) 463-7833
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147.000405 | IL | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Heights Medical Group SC | Current | Accepting new patients |
Locations
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
4 Memorial Dr
Ste 230
Alton, IL 62002
Phone (618) 463-7874
2900 Frank Scott Pkwy W
Ste 930
Belleville, IL 62223
Phone (618) 222-9383
4600 Memorial Dr
Ste 120
Belleville, IL 62226
Phone (618) 233-2220
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": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1497904213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 MEMORIAL DR STE 230",
"city": "ALTON",
"state": "IL",
"postal_code": "620026704",
"telephone_number": "618-433-6416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 MEMORIAL DR STE 230",
"city": "ALTON",
"state": "IL",
"postal_code": "620026704",
"telephone_number": "618-433-6416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANEY",
"first_name": "ANN",
"middle_name": "THERESE",
"credential": "AUDIOLOGIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-17",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "IL",
"license": "147.000405",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147.000405",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4 Memorial Dr Ste 230",
"city": "Alton",
"state": "IL",
"country_code": "US",
"postal_code": "620026704",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Alton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.