Individual provider Active NPI

Julie D. Kenny, AUD

  • Audiologist
  • Bloomington, IL
National Provider Identifier
1962784447
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147001405 Issued in IL
Practice address
2502 E Empire St Ste C
Bloomington, IL 61704-3739
Phone
(217) 383-3130
Fax
(217) 383-4451
NPI assigned
Sep 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147001405 IL Primary

Addresses

Primary practice location

2502 E Empire St Ste C
Bloomington, IL 61704-3739

Mailing address

101 W University Ave
Champaign, IL 61820-3909
Phone (217) 326-8630

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jkennyaud287524@CarleHieDirect.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111111000481 IL Practitioner - Qualified Audiologist 9537333414 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christie Clinic, PLLC CurrentSince Oct 8, 2018 Accepting new patients
Clarity Tinnitus and Hearing Solutions PLLC Audiologist Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 1, 2014 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 1, 2014 Accepting new patients
Bromenn Physicians Management Corporation Past Accepting new patients

Locations

2502 E Empire St
Bloomington, IL 61704
Phone (309) 662-6120

2502 E Empire St
Ste C
Bloomington, IL 61704
Phone (309) 664-1007

2502 E Empire St
Ste A
Bloomington, IL 61704
Phone (309) 300-1031

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

101 W University Ave
Champaign, IL 61820
Phone (217) 366-1255

29373 Network Pl
Chicago, IL 60673

1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684

911 S Chestnut St
Le Roy, IL 61752
Phone (309) 365-8608

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: jkennyaud287524@carlehiedirect.net

Organizations & group practices 5

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": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1962784447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W UNIVERSITY AVE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203909",
            "telephone_number": "217-326-8630",
            "fax_number": "309-268-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 E EMPIRE ST STE C",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617043739",
            "telephone_number": "217-383-3130",
            "fax_number": "217-383-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNY",
        "first_name": "JULIE",
        "middle_name": "D.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkennyaud287524@CarleHieDirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2502 E Empire St Ste C",
            "city": "Bloomington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "617043739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 5, 2022; 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.