Active NPI
Maeve Derrig, AU.D
- Audiologist
- Chicago, IL
National Provider Identifier
1881265072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147.001912
- Practice address
- 225 E Chicago Ave
Chicago, IL 60611-2991 - Phone
- (800) 543-7362
- NPI assigned
- Jul 8, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 744-156 | WI | |
| Audiologist | 231H00000X | 147.001912 | IL | Primary |
Addresses
Primary practice location
225 E Chicago Ave
Chicago, IL 60611-2991
Mailing address
1843 W Irving Park Rd
Chicago, IL 60613-2405
Phone (847) 877-9303
Other practice location 1
12500 Aurora Dr
Pleasant Prairie, WI 53158-1227
Phone (262) 857-5000
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mderrig312840@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 744 | WI | MD | Physical Therapist |
| 147.001912 | IL | MD | Audiologist |
| 744-156 | WI | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1881265072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1843 W IRVING PARK RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606132405",
"telephone_number": "847-877-9303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E CHICAGO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112991",
"telephone_number": "800-543-7362"
}
],
"practiceLocations": [
{
"address_1": "12500 Aurora Dr",
"address_purpose": "LOCATION",
"city": "Pleasant Prairie",
"state": "WI",
"postal_code": "531581227",
"country_code": "US",
"telephone_number": "262-857-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DERRIG",
"first_name": "MAEVE",
"credential": "AU.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-08",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WI",
"license": "744-156",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147.001912",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mderrig312840@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "12500 Aurora Dr",
"city": "Pleasant Prairie",
"state": "WI",
"country_code": "US",
"postal_code": "531581227",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "12500 Aurora Dr",
"city": "Pleasant Prairie",
"state": "WI",
"country_code": "US",
"postal_code": "531581227",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.