Individual provider Active NPI

Jessica Marie Tooley, AU.D., CCC-A

  • Audiologist-Hearing Aid Fitter
  • Avon, IN
National Provider Identifier
1982614285
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
23002397A Issued in IN
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000526059OtherINBLUE CROSS BLUE SHIELD
200844240MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070328000237 IN Practitioner - Qualified Audiologist 4587768783 Reassigns benefits to 1 organization
I20240315000389 WV Practitioner - Qualified Audiologist 4587768783 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Hearing Inc Audiologist-Hearing Aid Fitter CurrentSince Jul 1, 2014 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.

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.

Verify at the official NPI Registry.