Kristy Tilley, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

002118-1 Issued in NY

Practice address

201 South Ave
Suite 203
Poughkeepsie, NY 12601-4812

Phone

(845) 471-3490

Fax

(845) 454-3004

NPI assigned

Nov 6, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revolution HearingGroup PAC ID 6608249727, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Revolution Hearing

  • Audiologist
  • Richmond, VA
  • NPI 1154948420

  NY

  Medicare reassignment Care Compare group NPD
• Community Hearing Services

  • Hearing Aid Equipment
  • Mount Kisco, NY
  • NPI 1801069703
  NPD (past)
• Saint Francis Hospital / Medicine

  • Hospitalist Physician
  • Poughkeepsie, NY
  • NPI 1528167442
  NPD (past)
• Tal Dagan MD PC

  • Otolaryngology/Facial Plastic Surgery Physician
  • New York, NY
  • NPI 1205150570
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1093894362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SOUTH AVE",
            "address_2": "SUITE 203",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014812",
            "telephone_number": "845-471-3490",
            "fax_number": "845-454-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SOUTH AVE",
            "address_2": "SUITE 203",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014812",
            "telephone_number": "845-471-3490",
            "fax_number": "845-454-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLEY",
        "first_name": "KRISTY",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "002118-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGIST LICENSE",
            "identifier": "002118-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan Tiernan, MD
• Kristie Nicole Tierney
• Russell Tigges, MD
• Angelica Tillery
• Kanisha Tillery
• Jaclyn Elizabeth Timm
• Jessica Timm, MSN, PMHNP-BC
• Victoria Tissot
• Kadina Titer, LPN
• TLC Pediatrics

• Audiologist in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Audiologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.