Individual provider Active NPI

Alison Lea Mitchell, AU.D., CCC-A

  • Audiologist
  • Knoxville, TN
National Provider Identifier
1023301777
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0000001606 Issued in TN
Practice address
103 Suburban Rd Ste 101D
Knoxville, TN 37923-5581
Phone
(865) 769-0283
Fax
(865) 769-0283
NPI assigned
May 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 0000001606 TN Primary

Addresses

Primary practice location

103 Suburban Rd Ste 101D
Knoxville, TN 37923-5581

Mailing address

103 Suburban Rd Ste 101D
Knoxville, TN 37923-5581
Phone (865) 769-0283

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alison@bridgewatersh.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150224000126 TN Practitioner - Qualified Audiologist 1658697362 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000001606TNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Hearing Care LLC Audiologist CurrentSince Nov 19, 2024 Accepting new patients
Bridgewater Speech & Hearing, Inc Audiologist CurrentSince Dec 7, 2020 Accepting new patients
Tennessee Ear, Nose & Throat Consultants, PC Audiologist CurrentSince Nov 10, 2014 Accepting new patients
Allergy Associates, P.a. Past Accepting new patients

Locations

Dept 888604
Knoxville, TN 37995

9430 Park West Blvd
Ste 330
Knoxville, TN 37923
Phone (865) 271-6534

103 Suburban Rd
Ste D101
Knoxville, TN 37923
Phone (865) 769-0283

103 Suburban Rd
Ste 101D
Knoxville, TN 37923
Phone (865) 769-0283

9430 Park West Blvd
Ste 335
Knoxville, TN 37923
Phone (865) 693-6065

576 Fort Loudoun Med Center Dr
Ste 207
Lenoir City, TN 37772
Phone (865) 271-6534

329 Murfreesboro Pike
Nashville, TN 37210
Phone (615) 244-6900

Organizations & group practices 4

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": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1023301777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SUBURBAN RD STE 101D",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235581",
            "telephone_number": "865-769-0283",
            "fax_number": "865-769-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SUBURBAN RD STE 101D",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235581",
            "telephone_number": "865-769-0283",
            "fax_number": "865-769-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ALISON",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "0000001606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alison@bridgewatersh.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business email",
            "address_1": "103 Suburban Rd Ste 101D",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379235581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.