Individual provider Active NPI

Amy Watson, HIS

  • Hearing Instrument Specialist
  • Tullahoma, TN
National Provider Identifier
1023535242
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
0000000776 Issued in TN
Practice address
930 N Jackson St Ste a
Tullahoma, TN 37388-2373
Phone
(931) 952-0407
NPI assigned
Aug 28, 2017
Last updated
Nov 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X TN
Hearing Instrument Specialist 237700000X 0000000776 TN Primary

Addresses

Primary practice location

930 N Jackson St Ste a
Tullahoma, TN 37388-2373

Mailing address

930 N Jackson St Ste a
Tullahoma, TN 37388-2373
Phone (931) 952-0407

Other practice location 1

311 N Jackson St Ste 13
Tullahoma, TN 37388-3537
Phone (931) 952-0407

Other practice location 2

2020 Cowan Hwy Ste 1
Winchester, TN 37398-2406
Phone (931) 952-0407

Other identifiers 1

IdentifierTypeStateIssuer
Q061056MedicaidTN

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
0000000776TNMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Watson Hearing Services, LLC Audiologist-Hearing Aid Fitter CurrentSince Dec 3, 2023 Accepting new patients
Northland Hearing Center, Inc. PastSince May 12, 2024 Accepting new patients

Locations

930 N Jackson St
Ste A
Tullahoma, TN 37388
Phone (931) 952-0407

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1023535242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 N JACKSON ST STE A",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882373",
            "telephone_number": "931-952-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N JACKSON ST STE A",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882373",
            "telephone_number": "931-952-0407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 N Jackson St Ste 13",
            "address_purpose": "LOCATION",
            "city": "Tullahoma",
            "state": "TN",
            "postal_code": "373883537",
            "country_code": "US",
            "telephone_number": "931-952-0407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 Cowan Hwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "TN",
            "postal_code": "373982406",
            "country_code": "US",
            "telephone_number": "931-952-0407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "AMY",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TN",
            "license": "0000000776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q061056",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.