Active NPI
Molly Bastida, AUD CCC-A
- Audiologist
- Danville, IL
National Provider Identifier
1861367534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147.002055
- Practice address
- 15009 Catlin Tilton Rd
Danville, IL 61833-4776 - Phone
- (217) 443-8273
- NPI assigned
- Oct 10, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 147.002055 | IL | Primary |
Addresses
Primary practice location
15009 Catlin Tilton Rd
Danville, IL 61833-4776
Mailing address
15009 Catlin Tilton Rd
Danville, IL 61833-4776
Phone (217) 443-8273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260526000742 | IL | Practitioner - Qualified Audiologist | 4284104829 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
611 W Park St
Fapc
Urbana, IL 61801-2500
611 W Park St
Fapc
Urbana, IL 61801-2501
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147.002055 | IL | MD | Audiologist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760054400000",
"number": "1861367534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15009 CATLIN TILTON RD",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618334776",
"telephone_number": "217-443-8273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15009 CATLIN TILTON RD",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618334776",
"telephone_number": "217-443-8273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASTIDA",
"first_name": "MOLLY",
"credential": "AUD CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-10",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147.002055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.