Individual provider Active NPI

Linda Muscarello, AUD

  • Audiologist
  • Crystal Lake, IL
National Provider Identifier
1841224722
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147001118 Issued in IL
Practice address
380 N Terra Cotta Rd Ste B
Crystal Lake, IL 60012-1809
Phone
(815) 893-6777
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147001118 IL Primary

Addresses

Primary practice location

380 N Terra Cotta Rd Ste B
Crystal Lake, IL 60012-1809

Mailing address

380 N Terra Cotta Rd Ste B
Crystal Lake, IL 60012-1809
Phone (815) 893-6777

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
147001118ILMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1841224722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 N TERRA COTTA RD STE B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600121809",
            "telephone_number": "815-893-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 N TERRA COTTA RD STE B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600121809",
            "telephone_number": "815-893-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSCARELLO",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.