Active NPI
Whitney Roop Mauldin, AU.D,FAAA,CCC-A
- Audiologist
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1197
- 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, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31920111 | Other | TN | MEDICARE NPI |
| 3148987 | Medicaid | TN | |
| 4640001 | Other | TN | UNITED HEALTH CARE |
| 1504820 | Medicaid | TN | |
| 4171594 | Other | TN | BCBS |
| 3148987 | Other | TN | BLUECROSSBLUE SHIELD |
Other names 1
- Miss Whitney Heather Roop
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1197 | TN | MD | Audiologist |
| 3590 | GA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evans Innovations, Inc | Audiologist-Hearing Aid Fitter | Current | Accepting new patients |
| Bridgewater Speech & Hearing, Inc | Audiologist | Current | Accepting new patients |
| Evans Innovations, LLC | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| The Speech and Hearing Center | Audiologist | Past | 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.
-
dba Audio Life Hearing
- Audiologist-Hearing Aid Fitter
- Knoxville, TN
- NPI 1174760748
-
- Audiologist
- Knoxville, TN
- NPI 1265560288
-
dba Audiolife Hearing
- Audiologist-Hearing Aid Fitter
- Knoxville, TN
- NPI 1326383720
-
- Audiologist
- Chattanooga, TN
- NPI 1386667822
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.