Mittie Anna Tollefson, BC-HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

4365 Issued in AZ

Practice address

100 Verde Valley School Rd
Ste 105
Sedona, AZ 86351-9053

Phone

(928) 284-5200

Fax

(928) 284-5201

NPI assigned

Apr 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1093837593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SHUMAN BLVD",
            "address_2": "STE 401",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638458",
            "telephone_number": "630-303-5380",
            "fax_number": "978-313-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VERDE VALLEY SCHOOL RD",
            "address_2": "STE 105",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863519053",
            "telephone_number": "928-284-5200",
            "fax_number": "928-284-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLEFSON",
        "first_name": "MITTIE",
        "middle_name": "ANNA",
        "name_prefix": "Ms.",
        "credential": "BC-HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "AZ",
            "license": "4365",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HT8070",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Hearing Professionals, Inc.
• Therapy to You, PLLC
• Susanne Thomas
• Jacqueline B. Thompson, SLPA
• Tim Mullins LPC LLC
• Julia M Trainor, ARNP
• Tribe Wellness TMS PLLC
• Brady Raymond Tucker
• Dominic Rex Valdes Mumma, NMD
• Jennifer Marie Vanrooyen, M.S CCC SP

• Hearing Instrument Specialist in Sedona, AZ
• Providers in Sedona, AZ by specialty
• Hearing Instrument Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.