Individual provider Active NPI

Tyra Scott Joseph, M.C.D., CCC/A

  • Audiologist
  • Shenandoah, TX
National Provider Identifier
1104097518
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
51017 Issued in TX
Practice address
9301 Pinecroft Dr
Suite 150
Shenandoah, TX 77380-3179
Phone
(281) 362-1368
Fax
(281) 364-8211
NPI assigned
Mar 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 51017 TX Primary
Audiologist-Hearing Aid Fitter 237600000X 51017 TX

Addresses

Primary practice location

9301 Pinecroft Dr
Suite 150
Shenandoah, TX 77380-3179

Mailing address

10740 N Gessner Dr
Ste 310
Houston, TX 77064-1240
Phone (281) 897-0416

Other names 1

  • Tyra Scott Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080513000134 TX Practitioner - Qualified Audiologist 8022187327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Ear, Nose and Throat Specialists, PLLCGroup PAC ID 5799770202, 123 clinicians

Practice addresses (Care Compare)

7900 Fannin St
Suite 1900
Houston, TX 77054-2934
Phone (713) 791-9363

9301 Pinecroft Dr
Suite 150
Shenandoah, TX 77380-3182
Phone (281) 362-1368

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Ear, Nose & Throat Specialists, PLLC Audiologist CurrentSince Apr 1, 2008 Accepting new patients
Noble Anesthesia Partners, PLLC Past Accepting new patients

Locations

7900 Fannin St
#1900
Houston, TX 77054
Phone (713) 791-9363

10740 N Gessner Rd
Ste 310
Houston, TX 77064
Phone (281) 897-0416

9301 Pinecroft Dr
Ste 150
Shenandoah, TX 77380
Phone (281) 362-1368

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1104097518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10740 N GESSNER DR",
            "address_2": "STE 310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770641240",
            "telephone_number": "281-897-0416",
            "fax_number": "281-890-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 PINECROFT DR",
            "address_2": "SUITE 150",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803179",
            "telephone_number": "281-362-1368",
            "fax_number": "281-364-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "TYRA",
        "middle_name": "SCOTT",
        "credential": "M.C.D., CCC/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51017",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "51017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYRA",
            "last_name": "SCOTT",
            "credential": "M.C.D., CCC/A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.