Individual provider Active NPI

Chelsea Twyman-Douglas, AUD

  • Audiologist
  • Goshen, IN
National Provider Identifier
1912458019
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002609A Issued in IN
Practice address
2606 Peddlers Village Rd
Goshen, IN 46526-1004
Phone
(260) 602-3276
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 23002609A IN Primary

Addresses

Primary practice location

2606 Peddlers Village Rd
Goshen, IN 46526-1004

Mailing address

23610 River Dr
Goshen, IN 46528-9000
Phone (330) 221-5693

Other practice location 1

663 County Road 17 Ste 1
Elkhart, IN 46516-9329
Phone (574) 262-3277

Other identifiers 1

IdentifierTypeStateIssuer
201405900MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161207000044 IN Practitioner - Qualified Audiologist 0345520417 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hearcare Connection, IncGroup PAC ID 8325277882, 3 clinicians

Practice addresses (Care Compare)

130 W Main St
Suite 150
Fort Wayne, IN 46802-1797
Phone (260) 602-3276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hearcare Connection, Inc. Audiologist CurrentSince Jan 3, 2024 Accepting new patients
Elkhart Audiology Rehab CurrentSince Apr 4, 2024 Accepting new patients

Locations

663 County Road 17
Ste 1
Elkhart, IN 46516
Phone (574) 262-3277

130 W Main St
Ste 150
Fort Wayne, IN 46802
Phone (260) 602-3276

2606 Peddlers Village Rd
Ste 210
Goshen, IN 46526
Phone (260) 602-3276

Organizations & group practices 2

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": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1912458019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23610 RIVER DR",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465289000",
            "telephone_number": "330-221-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 PEDDLERS VILLAGE RD",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465261004",
            "telephone_number": "260-602-3276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "663 County Road 17 Ste 1",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465169329",
            "country_code": "US",
            "telephone_number": "574-262-3277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TWYMAN-DOUGLAS",
        "first_name": "CHELSEA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002609A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201405900",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.

Verify at the official NPI Registry.