Tiffany Iberg, BC-HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

2945 Issued in IL

Practice address

975 E Edwardsville Rd
Wood River, IL 62095-1823

Phone

(618) 259-0700

Fax

(618) 259-0761

NPI assigned

Dec 22, 2015

Last updated

Jul 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Johnson's Auditory Sales & Service, Inc.

  dba Johnson's Hearing Center

  • Hearing Instrument Specialist
  • Wood River, IL
  • NPI 1740334432
  NPD (past)
• Johnson's Auditory Sales & Service, Inc.

  dba Johnson's Hearing Center

  • Hearing Instrument Specialist
  • Wood River, IL
  • NPI 1851927578
  NPD (past)

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1972968667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 E EDWARDSVILLE RD",
            "city": "WOOD RIVER",
            "state": "IL",
            "postal_code": "620951823",
            "telephone_number": "618-259-0700",
            "fax_number": "618-259-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E EDWARDSVILLE RD",
            "city": "WOOD RIVER",
            "state": "IL",
            "postal_code": "620951823",
            "telephone_number": "618-259-0700",
            "fax_number": "618-259-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBERG",
        "first_name": "TIFFANY",
        "credential": "BC-HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-22",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": "2945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing Instrument Specialist in Wood River, IL
• Providers in Wood River, IL by specialty
• Hearing Instrument Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.