Bridget Mary Koefelda, M.S., CCC-A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

147000771 Issued in IL

Practice address

41W944 N Circle Dr
Saint Charles, IL 60175-7890

Phone

(630) 587-9698

NPI assigned

Jun 5, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244160000000",
    "number": "1922234871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41W944 N CIRCLE DR",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601757890",
            "telephone_number": "630-587-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41W944 N CIRCLE DR",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601757890",
            "telephone_number": "630-587-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEFELDA",
        "first_name": "BRIDGET",
        "middle_name": "MARY",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147000771",
            "primary": false
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "IL",
            "license": "147000771",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IL",
            "license": "147000771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalen Thomas Knull, P.T.
• William H Kobak, M.D.
• Heather Kochen, LCPC
• Jasbir S Kocher, D.C.
• Philip James Kocisko, LPC
• Elizabeth Koenen
• Erin Koenig, MPT
• Karolyn Koenig, MPT
• Gary Marshall Kohn, MD
• Martin L Kolinski, DDS

• Audiologist-Hearing Aid Fitter in Saint Charles, IL
• Providers in Saint Charles, IL by specialty
• Audiologist-Hearing Aid Fitter in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.