Active NPI
Lawrence Clayton & Associates, LLC
Doing business as Hearing Healthcare of Illinois
- Audiologist-Hearing Aid Fitter
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 147-000198
- Legal business name
- LAWRENCE CLAYTON & ASSOCIATES, LLC
- Doing business as
- Hearing Healthcare of Illinois
- Practice address
- 435 N Mulford Rd Ste 10
Rockford, IL 61107-5100 - Phone
- (815) 399-5279
- Fax
- (815) 399-3764
- NPI assigned
- Nov 16, 2007
- Last updated
- May 14, 2013
- 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
- Mrs. Leigh Ann Tackaberry, AUD
- Title
- Clinical Audiologist
- Phone
- (815) 399-5279
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-Hearing Aid Fitter | 237600000X | 147-000198 | IL | Primary |
Addresses
Primary practice location
435 N Mulford Rd Ste 10
Rockford, IL 61107-5100
Mailing address
435 N Mulford Rd Ste 10
Rockford, IL 61107-5100
Phone (815) 399-5279
Other names 1
- Hearing Healthcare of Illinois
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
205 Cadillac Ct
Ste 2
Belvidere, IL 61008
Phone (815) 399-5279
435 N Mulford Rd
#O
Rockford, IL 61107
Phone (815) 399-5279
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Doctors of Hearing Healthcare
- Audiologist
- Lake Barrington, IL
- NPI 1053196360
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Audiologist-Hearing Aid Fitter
- Rockford, IL
- NPI 1316053523
-
- Audiologist
- Rockford, IL
- NPI 1871573675
-
- Audiologist
- Rockford, IL
- NPI 1831762202
-
- Audiologist
- Rockford, IL
- NPI 1871887604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368489600000",
"number": "1659552701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 N MULFORD RD STE 10",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611075100",
"telephone_number": "815-399-5279",
"fax_number": "815-399-3764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 N MULFORD RD STE 10",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611075100",
"telephone_number": "815-399-5279",
"fax_number": "815-399-3764"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWRENCE CLAYTON & ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-16",
"last_updated": "2013-05-14",
"status": "A",
"authorized_official_last_name": "TACKABERRY",
"authorized_official_first_name": "LEIGH ANN",
"authorized_official_title_or_position": "CLINICAL AUDIOLOGIST",
"authorized_official_telephone_number": "815-399-5279",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "AUD"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "IL",
"license": "147-000198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hearing Healthcare of Illinois",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.