Individual provider Active NPI

Whitney Roop Mauldin, AU.D,FAAA,CCC-A

  • Audiologist
  • Knoxville, TN
National Provider Identifier
1093729139
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1197 Issued in TN
Practice address
9724 Kingston Pike
Suite 205
Knoxville, TN 37922-3347
Phone
(865) 694-9870
Fax
(865) 694-9871
NPI assigned
Jul 27, 2006
Last updated
Jun 25, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1197 TN Primary
Assistive Technology Supplier Audiologist 231HA2500X 1197 TN
Audiologist-Hearing Aid Fitter 237600000X 1197 TN
Audiologist-Hearing Aid Fitter 237600000X 3590 GA

Addresses

Primary practice location

9724 Kingston Pike
Suite 205
Knoxville, TN 37922-3347

Mailing address

9724 Kingston Pike
Suite 205
Knoxville, TN 37922-3347
Phone (865) 694-9870

Other identifiers 6

IdentifierTypeStateIssuer
31920111OtherTNMEDICARE NPI
3148987MedicaidTN
4640001OtherTNUNITED HEALTH CARE
1504820MedicaidTN
4171594OtherTNBCBS
3148987OtherTNBLUECROSSBLUE SHIELD

Other names 1

  • Miss Whitney Heather Roop Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071115000472 TN Practitioner - Qualified Audiologist 9537257159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evans Innovations, IncGroup PAC ID 3375687924, 3 clinicians

Practice addresses (Care Compare)

9724 Kingston Pike
Suite 205
Knoxville, TN 37922-3347
Phone (865) 694-9870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1197TNMDAudiologist
3590GAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Evans Innovations, Inc Audiologist-Hearing Aid Fitter CurrentSince Aug 16, 2012 Accepting new patients
Bridgewater Speech & Hearing, Inc Audiologist CurrentSince Jan 7, 2008 Accepting new patients
Evans Innovations, LLC Audiologist-Hearing Aid Fitter Past Accepting new patients
The Speech and Hearing Center Audiologist PastSince Apr 8, 2013 Accepting new patients
Family Hearing Center, Inc. Audiologist Past Accepting new patients

Locations

186 Airport Plaza Dr
Ste D
Alcoa, TN 37701
Phone (865) 694-9870

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

9724 Kingston Pike
Ste 205
Knoxville, TN 37922
Phone (865) 694-9870

Organizations & group practices 5

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1093729139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9724 KINGSTON PIKE",
            "address_2": "SUITE 205",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223347",
            "telephone_number": "865-694-9870",
            "fax_number": "865-694-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9724 KINGSTON PIKE",
            "address_2": "SUITE 205",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223347",
            "telephone_number": "865-694-9870",
            "fax_number": "865-694-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULDIN",
        "first_name": "WHITNEY",
        "middle_name": "ROOP",
        "name_prefix": "Dr.",
        "credential": "AU.D,FAAA,CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "1197",
            "primary": true
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "TN",
            "license": "1197",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TN",
            "license": "1197",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "GA",
            "license": "3590",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "31920111",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3148987",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "4640001",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1504820",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4171594",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUE SHIELD",
            "identifier": "3148987",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "ROOP",
            "middle_name": "HEATHER",
            "prefix": "MISS",
            "credential": "M.A.,FAAA,CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jun 25, 2015; 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.