Active NPI
Jessica Marie Tooley, AU.D., CCC-A
- Audiologist-Hearing Aid Fitter
- Avon, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 23002397A
- Practice address
- 5250 E US Hwy 36
Ste 155
Avon, IN 46123-9078 - Phone
- (317) 745-7849
- Fax
- (317) 745-6112
- NPI assigned
- Aug 9, 2006
- Last updated
- Mar 8, 2021
- Sex
- Female
- 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-Hearing Aid Fitter | 237600000X | 23002397A | IN | Primary |
Addresses
Primary practice location
5250 E US Hwy 36
Ste 155
Avon, IN 46123-9078
Mailing address
750 N Commons Dr Ste 200
Aurora, IL 60504-7940
Phone (630) 303-5380
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000526059 | Other | IN | BLUE CROSS BLUE SHIELD |
| 200844240 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, WV
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect Hearing Inc | Audiologist-Hearing Aid Fitter | Current | Accepting new patients |
| Hearing Center Inc | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Hearing Center, Inc. | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
Locations
750 N Commons Dr
Ste 200
Aurora, IL 60504
215 Shuman Blvd
Ste 401
Naperville, IL 60563
Phone (615) 372-8071
1601 Medical Arts Blvd
Ste 50
Anderson, IN 46011
Phone (765) 298-4190
5250 E US Highway 36
Ste 155
Avon, IN 46123
Phone (317) 745-0662
1500 N Ritter Ave
Indianapolis, IN 46219
Phone (317) 355-5041
8523 Madison Ave
Ste C
Indianapolis, IN 46227
Phone (317) 887-6707
931 S Washington St
Kokomo, IN 46901
Phone (765) 453-0200
629 E Springhill Dr
Terre Haute, IN 47802
Phone (812) 232-4700
1406 US Route 60
Huntington, WV 25705
Phone (304) 522-2551
167 State St
Madison, WV 25130
Phone (304) 369-1123
229 Church St S
#E
Ripley, WV 25271
Phone (304) 372-1122
Organizations & group practices 3
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.
-
- Hearing Aid Equipment
- Aurora, IL
- NPI 1265700942
Audiologist-Hearing Aid Fitter, IN, WV
-
- Audiologist-Hearing Aid Fitter
- Carmel, IN
- NPI 1841320256
-
- Hearing Aid Equipment
- Naperville, IL
- NPI 1902835812
Audiologist-Hearing Aid Fitter
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615161600000",
"number": "1982614285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 N COMMONS DR STE 200",
"city": "AURORA",
"state": "IL",
"postal_code": "605047940",
"telephone_number": "630-303-5380",
"fax_number": "630-303-5385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5250 E US HWY 36",
"address_2": "STE 155",
"city": "AVON",
"state": "IN",
"postal_code": "461239078",
"telephone_number": "317-745-7849",
"fax_number": "317-745-6112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOOLEY",
"first_name": "JESSICA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "AU.D., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "IN",
"license": "23002397A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000526059",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200844240",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.