Individual provider Active NPI

Holly Anna Wasmuth, HIS

  • Hearing Instrument Specialist
  • Danville, IL
National Provider Identifier
1912255423
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
3075 Issued in IL
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
3075ILMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Digital Hearing AIDS, Inc CurrentSince Feb 23, 2025 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.

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.

Verify at the official NPI Registry.