Teresa Caudle
Individual provider Active NPI Audiologist · Talladega, AL
NPI 1154475333 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1154475333
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 528 (AL)
- Practice address
- 205 South St E
Talladega, AL 35160-2411 - Phone
- (256) 761-3303
- Fax
- (256) 761-3485
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 528 | AL | MD | Audiologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 528 | AL | Yes |
Addresses
Primary practice location
205 South St E
Talladega, AL 35160-2411
Mailing address
205 South St E
Talladega, AL 35160-2411
Phone (256) 761-3303
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51060583CAU | Other | AL | BLUE CROSS BLUE SHIELD PN |
Other providers in Talladega, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.