Individual provider Active NPI

Timothy White, HIS

  • Hearing Instrument Specialist
  • Lexington, KY
National Provider Identifier
1013525153
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2102003029 Issued in KY
Practice address
121 Malabu Dr Ste 3
Lexington, KY 40503-3143
Phone
(859) 238-0070
Fax
(513) 332-9072
NPI assigned
Jul 15, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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 2102003029 KY Primary

Addresses

Primary practice location

121 Malabu Dr Ste 3
Lexington, KY 40503-3143

Mailing address

702 E Main St
Danville, KY 40422-1929
Phone (304) 654-9848

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
2102003029KYMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis, Scott & Associates, Inc CurrentSince Feb 1, 2026 Accepting new patients

Locations

121 Malabu Dr
Ste 3
Lexington, KY 40503
Phone (859) 238-0070

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1013525153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 E MAIN ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221929",
            "telephone_number": "304-654-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MALABU DR STE 3",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033143",
            "telephone_number": "859-238-0070",
            "fax_number": "513-332-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TIMOTHY",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-15",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "KY",
            "license": "2102003029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.