CANDICE J. M. OSENGA (NPI# 1194742007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194742007 |
| Entity Type | Individual |
| Full Name | CANDICE J. M. OSENGA |
| Credential | AUD |
| Practice Address |
275 South University Street 211 Rachel Cooper Normal IL 61761 |
| Mailing Address |
Campus Box 4720 Eckelmann-taylor Speech and Heraing Clinic Normal IL 61790-4720 |
| Practice Telephone | 3094388641 |
| Practice Fax Number | 3094385221 |
| Mailing Telephone | 3094388641 |
| Mailing Fax Number | 3094385221 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2012-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 147-001150 | IL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE GROUP NO. | 207414 | 01 |
| Street Address |
275 SOUTH UNIVERSITY STREET 211 RACHEL COOPER |
| City | NORMAL |
| State | IL |
| Zip Code | 61761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154670461 | Kimberly Lynn Adelman | Speech-Language Pathologist | 275 South University Street, Rachel Cooper, Normal, IL 61761 | 2012-08-31 |
| 1386991941 | Heidi Renee Verticchio | Speech-Language Pathologist | 275 South University Street, 211 Rachel Cooper, Normal, IL 61761 | 2012-08-13 |
| 1003163676 | Jacqueline Rene Mcclure | Speech-Language Pathologist | 275 South University Street, 211 Rachel Cooper, Normal, IL 61761 | 2012-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681796 | Brittany Nicole Mekley | Nurse Practitioner | 201 N. University, Normal, IL 61761 | 2020-08-28 |
| 1679108971 | Krystal Halliday | Occupational Therapist | 1815 N Towanda Barnes Rd, Normal, IL 61761 | 2020-03-06 |
| 1265915474 | Laine E Burek | Nurse Practitioner | 1765 Bradford Ln., Normal, IL 61761 | 2018-09-13 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1497275069 | Mclean County Nursing Home | Non-emergency Medical Transport (VAN) | 901 N. Main St, Normal, IL 61761 | 2017-06-23 |
| 1235673666 | Megan Threm | Registered Nurse | 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 | 2016-12-04 |
| 1437513553 | Tiesha Smith | Specialist | 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 | 2016-04-06 |
| 1285031658 | New Day Recovery | Community/Behavioral Health | 402 Summit, Normal, IL 61761 | 2014-12-01 |
| 1174927701 | Alyssa Marie Bruck | Occupational Therapist | 700 N Walnut St, Normal, IL 61761 | 2014-10-10 |
| Find all providers in zip 61761 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821390428 | Heidi Marie Ramrattan | Audiologist | Thomas Metcalf School, Campus Box 7000, Normal, IL 61790-7000 | 2010-12-02 |
| 1306072855 | Rachel Erin Wood | Audiologist | 211 Rachel Cooper Campus 4720, Normal, IL 61790-2262 | 2009-06-10 |
| 1568613503 | Tena Lenn Mcnamara | Audiologist | I S U Speech and Hearing Clinic, Campus Box 4720, Normal, IL 61790-0001 | 2008-10-08 |
| 1679743991 | Denise Lynn Lux | Audiologist | 211 Rachel Cooper Hall, Speech and Hearing Clinic Il State University, Normal, IL 61791-4720 | 2008-03-03 |
| 1093984908 | Susan Georgia Prendergast | Audiologist | Speech and Hearng Clinic Il State University, 211 Rachel Cooper Hall, Normal, IL 61790-4720 | 2008-02-25 |
| 1255478335 | Central Illinois Institute of Balance | Audiologist | 211 Landmark Drive Ste E3, Normal, IL 61761 | 2007-01-30 |
| 1053330613 | Kelly R Pyle | Audiologist | 275 S. University Street, 211 Rachel Cooper, Normal, IL 61761 | 2006-07-18 |
| 1619405115 | Paige Wydola | Audiologist | 207 Landmark Dr, Normal, IL 61761-3195 | 2017-05-27 |
| 1649653346 | Hometown Hearing & Audiology, Inc. | Audiologist | 112 Boeykens Pl, 4a, Normal, IL 61761-6161 | 2015-06-30 |
| 1952453730 | Alyssa Beth Seeman | Audiologist | Illinois State University, Campus Box 4720, Normal, IL 61790-4720 | 2007-01-18 |
| Find all providers in NORMAL | ||||
Please comment or provide details below to improve the information on CANDICE J. M. OSENGA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.