Active NPI
Hickory Audiology LLC
- Audiologist
- Bloomington, IN
National Provider Identifier
1548866262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- HICKORY AUDIOLOGY LLC
- Practice address
- 533 S Landmark Ave
Suite B
Bloomington, IN 47403 - Phone
- (812) 202-6168
- NPI assigned
- Dec 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Thompson, AUD
- Title
- Owner
- Phone
- (630) 744-9687
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
533 S Landmark Ave
Suite B
Bloomington, IN 47403
Mailing address
533 S Landmark Ave
Suite B
Bloomington, IN 47403
Phone (812) 202-6168
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
533 S Landmark Ave
#B
Bloomington, IN 47403
Phone (812) 202-6168
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Bloomington, IN
- NPI 1306862156
-
- Audiologist
- Bloomington, IN
- NPI 1821071838
-
- Audiologist
- Indianapolis, IN
- NPI 1548818131
-
- Audiologist
- Bloomington, IN
- NPI 1083603997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613433600000",
"number": "1548866262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 S LANDMARK AVE",
"address_2": "SUITE B",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "47403",
"telephone_number": "812-202-6168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 S LANDMARK AVE",
"address_2": "SUITE B",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "47403",
"telephone_number": "812-202-6168"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HICKORY AUDIOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-08",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-744-9687",
"authorized_official_credential": "AUD"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.