Alexandra Tully, MA, CCC-A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

Practice address

130 Austine Dr Ste 210
Brattleboro, VT 05301-6994

Phone

(802) 254-3922

Fax

(802) 258-9512

NPI assigned

Sep 29, 2006

Last updated

Mar 11, 2008By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Enrolled in VT, NH, MA3 enrollments

Enrollment records 3

Specialty

Qualified Audiologist

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brattleboro Hearing Center IncGroup PAC ID 9234453200, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brattleboro Hearing Center Inc

  • Audiologist-Hearing Aid Fitter
  • Brattleboro, VT
  • NPI 1265835755

  MA, NH

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1184716037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PROSPECT AVE",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013013526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 AUSTINE DR STE 210",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016994",
            "telephone_number": "802-254-3922",
            "fax_number": "802-258-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLY",
        "first_name": "ALEXANDRA",
        "credential": "MA, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGIST",
            "identifier": "58731",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30432888",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008121",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Town of Brattleboro (Brattleboro Fire Department)
• Caitlin Towsley, BA
• Caroline Trevarrow, BS
• Lois Trezise, CNM
• True Point Dental, PLLC
• Sarah Rebecca Turbow, LICSW
• Elizabeth H. Ungerleider, MA
• Valley Pathology Associates
• Jason Keith Veith, DO
• Karla Velasquez

• Audiologist-Hearing Aid Fitter in Brattleboro, VT
• Providers in Brattleboro, VT by specialty
• Audiologist-Hearing Aid Fitter in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.