Individual provider Active NPI

Virginia Tallmadge, AU.D.

  • Audiologist
  • Louisville, KY
National Provider Identifier
1194401646
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
285745 Issued in KY
Practice address
117 E Kentucky St
Louisville, KY 40203-2793
Phone
(502) 584-3573
NPI assigned
Jun 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 285745 KY Primary

Addresses

Primary practice location

117 E Kentucky St
Louisville, KY 40203-2793

Mailing address

2013 Eastern Pkwy Apt 2
Louisville, KY 40204-1427
Phone (303) 921-0995

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230720003272 KY Practitioner - Qualified Audiologist 8820458904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Tennessee, HSC, College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edith and Henry Heuser Hearing InstituteGroup PAC ID 2062451610, 10 clinicians

Practice addresses (Care Compare)

117 E Kentucky St
Louisville, KY 40203-2793
Phone (502) 584-3573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Edith & Henry Heuser Hearing Institute Audiologist CurrentSince Jun 20, 2023 Accepting new patients

Locations

136 Rockcastle Rd
Inez, KY 41224
Phone (502) 584-3573

111 E Kentucky St
Louisville, KY 40203
Phone (502) 371-9910

117 E Kentucky St
Louisville, KY 40203
Phone (502) 584-3573

2932 Breckenridge Ln
Ste 1
Louisville, KY 40220
Phone (502) 479-1616

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.

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1194401646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 EASTERN PKWY APT 2",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041427",
            "telephone_number": "303-921-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E KENTUCKY ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402032793",
            "telephone_number": "502-584-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLMADGE",
        "first_name": "VIRGINIA",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "285745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.