Active NPI
Holly Anna Wasmuth, HIS
- Hearing Instrument Specialist
- Danville, IL
National Provider Identifier
1912255423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 3075
- Practice address
- 620 N Logan Ave
Danville, IL 61832-4362 - Phone
- (217) 442-1900
- Fax
- (217) 442-1765
- NPI assigned
- Aug 15, 2012
- Last updated
- Apr 10, 2020
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 3075 | IL | Primary |
Addresses
Primary practice location
620 N Logan Ave
Danville, IL 61832-4362
Mailing address
620 N Logan Ave
Danville, IL 61832-4362
Phone (217) 442-1900
Other practice location 1
2888 N Monroe St
Decatur, IL 62526-3269
Phone (217) 877-8430
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | holly@audibelteam.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3075 | IL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digital Hearing AIDS, Inc | Current | Accepting new patients |
Locations
620 N Logan Ave
Danville, IL 61832
Phone (217) 442-1900
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Audibel Hearing Aids
- Durable Medical Equipment & Medical Supplies
- Danville, IL
- NPI 1538340294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586476800000",
"number": "1912255423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 N LOGAN AVE",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618324362",
"telephone_number": "217-442-1900",
"fax_number": "217-442-1765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 N LOGAN AVE",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618324362",
"telephone_number": "217-442-1900",
"fax_number": "217-442-1765"
}
],
"practiceLocations": [
{
"address_1": "2888 N Monroe St",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "IL",
"postal_code": "625263269",
"country_code": "US",
"telephone_number": "217-877-8430",
"fax_number": "217-355-5590",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WASMUTH",
"first_name": "HOLLY",
"middle_name": "ANNA",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-15",
"last_updated": "2020-04-10",
"certification_date": "2020-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IL",
"license": "3075",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "holly@audibelteam.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "620 N Logan Ave",
"city": "Danville",
"state": "IL",
"country_code": "US",
"postal_code": "618324362",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.