Active NPI
Tess Johnson, AUD
- Audiologist-Hearing Aid Fitter
- Chesterfield, MO
National Provider Identifier
1013730043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 2022005698
- Practice address
- 128 Chesterfield Commons Rd E
Chesterfield, MO 63005-1440 - Phone
- (636) 778-1168
- NPI assigned
- Nov 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 2022005698 | MO | Primary |
Addresses
Primary practice location
128 Chesterfield Commons Rd E
Chesterfield, MO 63005-1440
Mailing address
1300 Palm Ridge CT
Saint Louis, MO 63146-4418
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2022005698 | MO | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concierge Hearing Care, LLC | Current | Accepting new patients |
Locations
128 Chesterfield Commons Rd E
Chesterfield, MO 63005
Phone (636) 778-1168
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": "1730937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1013730043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 PALM RIDGE CT",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631464418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 CHESTERFIELD COMMONS RD E",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630051440",
"telephone_number": "636-778-1168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "TESS",
"credential": "AUD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-07",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MO",
"license": "2022005698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.