NPIMap

Organization Active NPI

Bloomington Normal Audiology

  • Audiologist
  • Bloomington, IL
National Provider Identifier
1740378074
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147000437 Issued in IL
Legal business name
BLOOMINGTON NORMAL AUDIOLOGY
Practice address
1404 Eastland Dr
Suite 203
Bloomington, IL 61701-3532
Phone
(309) 662-8346
Fax
(309) 662-0479
NPI assigned
Oct 11, 2006
Last updated
Sep 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Authorized official

Name
Dr. Deborah S Pitcher, AUDNPI 1326136656
Title
Audiologist Owner Manager
Phone
(309) 662-8346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147000437 IL Primary
Assistive Technology Practitioner Audiologist 231HA2400X 147000437 IL
Assistive Technology Supplier Audiologist 231HA2500X 147000437 IL
Audiologist-Hearing Aid Fitter 237600000X 147000437 IL

Addresses

Primary practice location

1404 Eastland Dr
Suite 203
Bloomington, IL 61701-3532

Mailing address

1404 Eastland Drive
Suite 203
Bloomington, IL 61701
Phone (309) 662-8346

Other identifiers 3

IdentifierTypeStateIssuer
CC4558OtherILRAILROAD MEDICARE
093818OtherILHEALTH ALLIANCE
05715416OtherILBCBS

National Provider Directory

National Provider Directory

Locations

1404 Eastland Dr
Bloomington, IL 61701
Phone (309) 662-8346

1404 Eastland Dr
Ste 203
Bloomington, IL 61701
Phone (309) 662-8346

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1740378074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 EASTLAND DRIVE",
            "address_2": "SUITE 203",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "61701",
            "telephone_number": "309-662-8346",
            "fax_number": "309-662-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 EASTLAND DR",
            "address_2": "SUITE 203",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013532",
            "telephone_number": "309-662-8346",
            "fax_number": "309-662-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMINGTON NORMAL AUDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "PITCHER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "AUDIOLOGIST OWNER MANAGER",
        "authorized_official_telephone_number": "309-662-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147000437",
            "primary": true
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "IL",
            "license": "147000437",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "IL",
            "license": "147000437",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IL",
            "license": "147000437",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC4558",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "093818",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "05715416",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.