Individual provider Active NPI

Mary Easterday, AU.D

  • Audiologist
  • Knoxville, TN
National Provider Identifier
1033507389
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0721 Issued in TN
Practice address
103 Suburban Rd Ste 101D
Knoxville, TN 37923-5581
Phone
(865) 769-0283
NPI assigned
Jan 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 10471 MN
Audiologist 231H00000X 0721 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

Other practice location 1

200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other practice location 2

430 South Stadium Hall
Knoxville, TN 37996-1308
Phone (865) 974-5453

Other practice location 3

1927 Northwood Dr
Knoxville, TN 37923-1308
Phone (865) 441-8608

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170518001597 TN Practitioner - Qualified Audiologist 7315214533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridgewater Speech Hearing IncGroup PAC ID 1254364979, 9 clinicians

Practice addresses (Care Compare)

103 Suburban Rd
Suite D101
Knoxville, TN 37923-5581
Phone (865) 769-0283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0721TNMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgewater Speech & Hearing, Inc Audiologist CurrentSince Jul 24, 2025 Accepting new patients

Locations

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

103 Suburban Rd
Ste 103D
Knoxville, TN 37923

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

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": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1033507389",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559050001",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "430 South Stadium Hall",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379961308",
            "country_code": "US",
            "telephone_number": "865-974-5453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1927 Northwood Dr",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379231308",
            "country_code": "US",
            "telephone_number": "865-441-8608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EASTERDAY",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-08",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "10471",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "0721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.