Deanna Marie Boston, AU.D.
Individual provider Active NPI Audiologist · Litchfield, IL
NPI 1720130065 · NPPES record last updated May 14, 2008
Key facts
- NPI
- 1720130065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 147-001115 (IL)
- Practice address
- 220 E Ryder St
Litchfield, IL 62056-2033 - Phone
- (217) 324-2433
- Fax
- (217) 324-3377
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
220 E Ryder St
Litchfield, IL 62056-2033
Phone (217) 324-2433
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060228000785 | IL | Practitioner - Qualified Audiologist | 1759397755 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147-001115 | IL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nelson Audiology PLLC | Audiologist | Current |
Accepting new patients |
Locations
220 E Ryder St
Litchfield, IL 62056
Phone (217) 324-2433
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 147-001115 | IL | Yes |
Addresses
Primary practice location
220 E Ryder St
Litchfield, IL 62056-2033
Mailing address
220 E Ryder St
Litchfield, IL 62056-2033
Phone (217) 324-2433
Other providers in Litchfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.