Individual provider Active NPI

Olivia Norris, AU.D.

  • Audiologist
  • Wethersfield, CT
National Provider Identifier
1689223513
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000637 Issued in CT
Practice address
123 Progress Dr
Wethersfield, CT 06109-2450
Phone
(860) 529-4260
Fax
(860) 257-8500
NPI assigned
Sep 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 000637 CT Primary

Addresses

Primary practice location

123 Progress Dr
Wethersfield, CT 06109-2450

Mailing address

Crec-Soundbridge
123 Progress Dr
Wethersfield, CT 06109-2450
Phone (860) 529-4260

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.crec.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241021000245 IL Practitioner - Qualified Audiologist 5698207207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Americans for Better Hearing FoundationGroup PAC ID 3375720725, 6 clinicians

Practice addresses (Care Compare)

7630 S County Line Rd
Suite 1
Burr Ridge, IL 60527-4714
Phone (630) 321-3555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000637CTMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Americans for Better Hearing Foundation Audiologist CurrentSince Aug 26, 2024 Accepting new patients

Locations

7630 S County Line Rd
Burr Ridge, IL 60527
Phone (630) 321-3555

100 Tower Dr
Ste 101
Burr Ridge, IL 60527
Phone (630) 321-3555

3400 S Indiana Ave
Chicago, IL 60616
Phone (312) 482-5000

500 S Walnut St
Momence, IL 60954
Phone (815) 308-0850

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": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1689223513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CREC-SOUNDBRIDGE",
            "address_2": "123 PROGRESS DR",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061092450",
            "telephone_number": "860-529-4260",
            "fax_number": "860-257-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 PROGRESS DR",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061092450",
            "telephone_number": "860-529-4260",
            "fax_number": "860-257-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "OLIVIA",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CT",
            "license": "000637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.crec.org",
            "affiliation": "N",
            "endpointDescription": "company's website",
            "address_1": "123 Progress Dr",
            "city": "Wethersfield",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061092450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wethersfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.

Verify at the official NPI Registry.