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JENNIFER M BLACK M.A. CCC-A NPI 1457379810


NPI Information

NPI: 1457379810
Provider Name: JENNIFER M BLACK, M.A., CCC-A
Classification: Audiologist - 231H00000X
Entity Type: Individual
Address:
611 W. PARK ST.
URBANA, IL
ZIP 61801
Phone: (217) 383-3130
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Jennifer M Black, M.A., CCC-A is an audiologist in Urbana, IL with 40 years of experience. The provider is (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. Jennifer M Black, M.A., CCC-A NPI is 1457379810. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

611 W. PARK ST.
URBANA, IL
ZIP 61801-500
Phone: (217) 383-3130
Fax: (217) 326-2336

The enumeration date for this NPI number is 7/17/2006 and was last updated on 5/12/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1231H00000XAudiologist147-000228ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16447860011MEDICARE NSCILLINOIS
2IL3270382MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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