Individual provider Active NPI

Melissa N Tednes, AUD

  • Audiologist
  • Hinsdale, IL
National Provider Identifier
1740794619
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147.0001647 Issued in IL
Practice address
11 Salt Creek LN
Hinsdale, IL 60521-2990
Phone
(630) 789-3110
NPI assigned
Nov 29, 2017
Last updated
Dec 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147.0001647 IL Primary

Addresses

Primary practice location

11 Salt Creek LN
Hinsdale, IL 60521-2990

Mailing address

11 Salt Creek LN
Hinsdale, IL 60521-2990

Other practice location 1

880 W Central Rd Ste 4300
Arlington Heights, IL 60005-2381
Phone (847) 392-2250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180110001330 IL Practitioner - Qualified Audiologist 1052670452 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147.0001647ILMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners,Inc CurrentSince Dec 18, 2017 Accepting new patients
Adventist Health Partners, Inc. CurrentSince Dec 18, 2017 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients
Northwest Speech and Hearing Center LTD. Audiologist Past Accepting new patients

Locations

1000 Remington Blvd
Ste 200
Bolingbrook, IL 60440
Phone (630) 312-7755

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

Organizations & group practices 4

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": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1740794619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SALT CREEK LN",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SALT CREEK LN",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605212990",
            "telephone_number": "630-789-3110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 W Central Rd Ste 4300",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600052381",
            "country_code": "US",
            "telephone_number": "847-392-2250",
            "fax_number": "847-392-2204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEDNES",
        "first_name": "MELISSA",
        "middle_name": "N",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147.0001647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.