Individual provider Active NPI

Theresa F Towne, MS CCC/A

  • Audiologist-Hearing Aid Fitter
  • Pekin, IL
National Provider Identifier
1619165586
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
147-000693 Issued in IL
Practice address
117 N Parkway Dr
Pekin, IL 61554-3932
Phone
(309) 347-0500
Fax
(309) 347-0501
NPI assigned
Oct 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147-000693 IL
Audiologist-Hearing Aid Fitter 237600000X 147-000693 IL Primary

Addresses

Primary practice location

117 N Parkway Dr
Pekin, IL 61554-3932

Mailing address

513 W Melbourne Ave
Peoria, IL 61604-2843
Phone (309) 258-9868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
147-000693ILMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Midstate Hearing Inc. Past Accepting new patients
Sound Choice Hearing Clinic, Inc. Audiologist PastSince May 14, 2013 Accepting new patients

Organizations & group practices 2

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": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1619165586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 W MELBOURNE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616042843",
            "telephone_number": "309-258-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N PARKWAY DR",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615543932",
            "telephone_number": "309-347-0500",
            "fax_number": "309-347-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNE",
        "first_name": "THERESA",
        "middle_name": "F",
        "credential": "MS CCC/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147-000693",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IL",
            "license": "147-000693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pekin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.