NPIMap

Organization Active NPI

Audiology Innovations, P.C.

  • Audiologist
  • Bloomington, IL
National Provider Identifier
1932473345
Registry record updated Dec 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147-001154 Issued in IL
Legal business name
AUDIOLOGY INNOVATIONS, P.C.
Practice address
816 S Eldorado Rd Ste 1
Bloomington, IL 61704-6035
Phone
(309) 662-8346
Fax
(309) 662-0479
NPI assigned
Mar 2, 2012
Last updated
Dec 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2017

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

Authorized official

Name
Dr. Natalie Mae McKee, AU.D.NPI 1346338605
Title
Doctor of Audiology
Phone
(815) 751-6691

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147-001154 IL Primary

Addresses

Primary practice location

816 S Eldorado Rd Ste 1
Bloomington, IL 61704-6035

Mailing address

816 S Eldorado Rd Ste 1
Bloomington, IL 61704-6035
Phone (309) 662-8346

Other practice location 1

1404 Eastland Dr Ste 203
Bloomington, IL 61701-7904
Phone (309) 662-8346

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120913000678 IL Part B Supplier - Clinic/Group Practice 4587812631 Receives reassigned benefits from 4 practitioners
Practice locations: Bloomington, IL

National Provider Directory

National Provider Directory

Locations

816 S Eldorado Rd
Ste 1
Bloomington, IL 61704
Phone (309) 662-8346

816 S Eldorado Rd
Ste 2
Bloomington, IL 61704
Phone (309) 662-8346

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514246400000",
    "number": "1932473345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 S ELDORADO RD STE 1",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617046035",
            "telephone_number": "309-662-8346",
            "fax_number": "309-662-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 S ELDORADO RD STE 1",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617046035",
            "telephone_number": "309-662-8346",
            "fax_number": "309-662-0479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1404 Eastland Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IL",
            "postal_code": "617017904",
            "country_code": "US",
            "telephone_number": "309-662-8346",
            "fax_number": "309-662-0479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AUDIOLOGY INNOVATIONS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2017-12-26",
        "status": "A",
        "authorized_official_last_name": "MCKEE",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "DOCTOR OF AUDIOLOGY",
        "authorized_official_telephone_number": "815-751-6691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147-001154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.