Individual provider Active NPI

Alyxandria Renae Sundheimer, AUD

  • Audiologist
  • Bloomington, IN
National Provider Identifier
1700509114
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002845A Issued in IN
Practice address
2920 S McIntire Dr
Bloomington, IN 47403-4221
Phone
(812) 353-3277
NPI assigned
Sep 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147.001917 IL
Audiologist 231H00000X 23002845A IN Primary

Addresses

Primary practice location

2920 S McIntire Dr
Bloomington, IN 47403-4221

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

3105 Fields South Drive
Champaign, IL 61822
Phone (217) 902-3227

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asundheimer@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230221002648 IL Practitioner - Qualified Audiologist 9436521416 Reassigns benefits to 1 organization
I20250807000236 IN Practitioner - Qualified Audiologist 9436521416 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147.001917ILMDAudiologist
23002845AINMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Care Incorporated CurrentSince Nov 10, 2022 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Jun 13, 2025 Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC CurrentSince Jun 13, 2025 Accepting new patients

Locations

3105 Fields South Dr
Champaign, IL 61822
Phone (217) 902-3277

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

2920 S McIntire Dr
Ste 103
Bloomington, IN 47403
Phone (812) 353-2870

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

Organizations & group practices 3

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": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1700509114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 S MCINTIRE DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034221",
            "telephone_number": "812-353-3277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3105 Fields South Drive",
            "address_purpose": "LOCATION",
            "city": "Champaign",
            "state": "IL",
            "postal_code": "61822",
            "country_code": "US",
            "telephone_number": "217-902-3227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNDHEIMER",
        "first_name": "ALYXANDRIA",
        "middle_name": "RENAE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147.001917",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002845A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asundheimer@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2920 S McIntire Dr",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474034221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.

Verify at the official NPI Registry.