Individual provider Active NPI

Andrew Tyynismaa, H.I.S.

  • Hearing Instrument Specialist
  • Menomonie, WI
National Provider Identifier
1013499854
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
1560-60 Issued in WI
Practice address
392 Red Cedar St Ste 3
Menomonie, WI 54751-2338
Phone
(715) 235-3191
NPI assigned
Aug 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 1560-60 WI Primary

Addresses

Primary practice location

392 Red Cedar St Ste 3
Menomonie, WI 54751-2338

Mailing address

392 Red Cedar St Ste 3
Menomonie, WI 54751-2338
Phone (715) 235-3191

Other identifiers 1

IdentifierTypeStateIssuer
23770000023MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1560-60WIMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1013499854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 RED CEDAR ST STE 3",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512338",
            "telephone_number": "715-235-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 RED CEDAR ST STE 3",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512338",
            "telephone_number": "715-235-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYYNISMAA",
        "first_name": "ANDREW",
        "credential": "H.I.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WI",
            "license": "1560-60",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23770000023",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.