Active NPI
Steven Ronald Taddei, AU.D.
- Audiologist
- Rockford, IL
National Provider Identifier
1972021723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147.001633
- Practice address
- 8038 Macintosh LN
Rockford, IL 61107-5336 - Phone
- (815) 332-6800
- Fax
- (815) 332-6810
- NPI assigned
- Aug 31, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 147.001633 | IL | Primary |
Addresses
Primary practice location
8038 Macintosh LN
Rockford, IL 61107-5336
Mailing address
8038 Macintosh LN
Rockford, IL 61107-5336
Phone (815) 332-6800
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147.001633 | IL | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1972021723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8038 MACINTOSH LN",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611075336",
"telephone_number": "815-332-6800",
"fax_number": "815-332-6810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8038 MACINTOSH LN",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611075336",
"telephone_number": "815-332-6800",
"fax_number": "815-332-6810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TADDEI",
"first_name": "STEVEN",
"middle_name": "RONALD",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-31",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147.001633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.