Mary Claire Jolly, FITTER/DISPENSER

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

80480 Issued in TX

Practice address

4746 S Broadway Ave
Tyler, TX 75703-1308

Phone

(903) 561-8774

Fax

(903) 561-8787

NPI assigned

Apr 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Metx, LLC

  • Hearing Instrument Specialist
  • Tyler, TX
  • NPI 1437553914
  NPD (past)
• Metx, LLC

  • Hearing Instrument Specialist
  • Amarillo, TX
  • NPI 1740686575
  NPD (past)

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1083176283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 BAGANIE LN",
            "city": "BULLARD",
            "state": "TX",
            "postal_code": "757573010",
            "telephone_number": "903-330-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4746 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031308",
            "telephone_number": "903-561-8774",
            "fax_number": "903-561-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "MARY",
        "middle_name": "CLAIRE",
        "name_prefix": "Mrs.",
        "credential": "FITTER/DISPENSER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "80480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Frederick Johnston, DO
• Keelie Johnston, PA-C
• Tori Johnston, FNP-C
• Joint Recovery Services LLC
• Jennifer Jolley, LMT
• Jonathan Blau MD PA
• Jonathan Ridenour, PA
• Latorie Jones-Curtis
• Adarsh Samuel Jones, MD
• Ann Hollingsworth Jones, OTR

• Hearing Instrument Specialist in Tyler, TX
• Providers in Tyler, TX by specialty
• Hearing Instrument Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.