Sandi Greene Deford, M.S.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

147000582 Issued in IL

Practice address

175 S Main St
Canton, IL 61520-2670

Phone

(309) 647-0201

Fax

(309) 647-9762

NPI assigned

Mar 7, 2007

Last updated

Jul 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spoon River Hearing Services Inc

  • Audiologist
  • Canton, IL
  • NPI 1003030115
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1689704660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S MAIN ST",
            "city": "CANTON",
            "state": "IL",
            "postal_code": "615202670",
            "telephone_number": "309-647-0201",
            "fax_number": "309-647-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S MAIN ST",
            "city": "CANTON",
            "state": "IL",
            "postal_code": "615202670",
            "telephone_number": "309-647-0201",
            "fax_number": "309-647-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFORD",
        "first_name": "SANDI",
        "middle_name": "GREENE",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147000582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "203356810",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Crawford
• Cubbull, Inc.
• John Howard Day, MD
• Brianna Dean
• David W Dean, M.D.
• Gerri Delost, CRNA
• Christina Dawn Denning, RN
• Gregory Lee Derry, D.D.S.
• Ryan Deushane, CRNA
• Dialysis Centers of America - Illinois, Inc. (RCG Central Illinois-Canton)

• Audiologist in Canton, IL
• Providers in Canton, IL by specialty
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.