Active NPI
Rebecca Lynne Anderson, AU.D.
- Audiologist
- Oak Park, IL
National Provider Identifier
1700031184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147000851
- Practice address
- 610 S Maple Ave
Suite 5300
Oak Park, IL 60304-1091 - Phone
- (708) 955-5019
- NPI assigned
- Nov 26, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 147000851 | IL | Primary |
Addresses
Primary practice location
610 S Maple Ave
Suite 5300
Oak Park, IL 60304-1091
Mailing address
PO Box 5141
River Forest, IL 60305-5141
Phone (708) 955-5019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
610 S Maple Ave
Suite 5300
Oak Park, IL 60304-2818
Phone (708) 660-2350
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Care Hearing Corporation | Audiologist | Current | Accepting new patients |
Locations
610 S Maple Ave
Ste 5300
Oak Park, IL 60304
Phone (708) 660-2350
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235088000000",
"number": "1700031184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5141",
"city": "RIVER FOREST",
"state": "IL",
"postal_code": "603055141",
"telephone_number": "708-955-5019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 S MAPLE AVE",
"address_2": "SUITE 5300",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603041091",
"telephone_number": "708-955-5019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "REBECCA",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-26",
"last_updated": "2009-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147000851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.