Individual provider Active NPI

Laura L. Sievers, MS, CCC-A

  • Audiologist
  • Jackson, TN
National Provider Identifier
1184917684
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
TNA0000001602 Issued in TN
Practice address
65 Ridgecrest Rd
Jackson, TN 38305-2359
Phone
(731) 668-6076
Fax
(731) 668-7033
NPI assigned
May 17, 2011
Last updated
May 17, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X TNA0000001602 TN Primary
Audiologist 231H00000X CA0000001826 CA

Addresses

Primary practice location

65 Ridgecrest Rd
Jackson, TN 38305-2359

Mailing address

65 Ridgecrest Rd
Jackson, TN 38305-2359
Phone (731) 668-6076

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260314000464 TN Practitioner - Qualified Audiologist 1658854948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

65 Ridgecrest Rd
Jackson, TN 38305-2359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1602TNMDAthletic Trainer
CA0000001826CAMDAudiologist
TNA0000001602TNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
West Tennessee Hearing & Speech Center, Inc CurrentSince Jan 26, 2026 Accepting new patients

Locations

65 Ridgecrest Rd
Jackson, TN 38305
Phone (731) 446-5441

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

NPI Registry JSON

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1184917684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 RIDGECREST RD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052359",
            "telephone_number": "731-668-6076",
            "fax_number": "731-668-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 RIDGECREST RD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052359",
            "telephone_number": "731-668-6076",
            "fax_number": "731-668-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEVERS",
        "first_name": "LAURA",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "TNA0000001602",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "CA0000001826",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.