Individual provider Active NPI

Emily Mostardo, HIS

  • Hearing Instrument Specialist
  • Bloomingdale, IL
National Provider Identifier
1831960921
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
3570 Issued in IL
Practice address
111 E Lake St Ste 1
Bloomingdale, IL 60108-1153
Phone
(630) 307-0480
Fax
(630) 307-0459
NPI assigned
Jan 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 106249 IA
Hearing Instrument Specialist 237700000X 3570 IL Primary

Addresses

Primary practice location

111 E Lake St Ste 1
Bloomingdale, IL 60108-1153

Mailing address

111 E Lake St Ste 1
Bloomingdale, IL 60108-1153
Phone (630) 307-0480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
106249IAMDHearing Instrument Specialist
3570ILMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1831960921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E LAKE ST STE 1",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081153",
            "telephone_number": "630-307-0480",
            "fax_number": "630-307-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E LAKE ST STE 1",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081153",
            "telephone_number": "630-307-0480",
            "fax_number": "630-307-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTARDO",
        "first_name": "EMILY",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IA",
            "license": "106249",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": "3570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.