Active NPI
Tara Renee Crotts, HEARING INSTRUMENT S
- Hearing Instrument Specialist
- Morganton, NC
National Provider Identifier
1124616487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 1635
- Practice address
- 423 South King Street
Morganton, NC 28655 - Phone
- (828) 438-9685
- Fax
- (828) 391-5024
- NPI assigned
- Jan 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 1178A01 | NC | |
| Hearing Instrument Specialist | 237700000X | 1635 | NC | Primary |
Addresses
Primary practice location
423 South King Street
Morganton, NC 28655
Mailing address
423 South King Street
Morganton, NC 28655
Phone (828) 438-9685
Other names 1
- Tara Renee Kivett
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1635 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 1178A01 | NC | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audpractice Group | Hearing Instrument Specialist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Hearing and Speech Clinic/Center
- Greensboro, NC
- NPI 1851825236
Hearing Instrument Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672185600000",
"number": "1124616487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 SOUTH KING STREET",
"city": "MORGANTON",
"state": "NC",
"postal_code": "28655",
"telephone_number": "828-438-9685",
"fax_number": "828-391-5024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 SOUTH KING STREET",
"city": "MORGANTON",
"state": "NC",
"postal_code": "28655",
"telephone_number": "828-438-9685",
"fax_number": "828-391-5024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROTTS",
"first_name": "TARA",
"middle_name": "RENEE",
"credential": "HEARING INSTRUMENT S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-04",
"last_updated": "2022-12-28",
"certification_date": "2022-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NC",
"license": "1178A01",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NC",
"license": "1635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "KIVETT",
"middle_name": "RENEE",
"credential": "HEARING INSTRUMENT S",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Morganton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.