Individual provider Active NPI

Julie Anne Gardino, AU.D., CCC-A

  • Audiologist
  • Germantown, TN
National Provider Identifier
1205087905
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1487 Issued in TN
Practice address
7675 Wolf River Cir Ste 101
Germantown, TN 38138-1748
Phone
(901) 682-1529
Fax
(901) 761-0592
NPI assigned
Oct 1, 2008
Last updated
Oct 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1487 TN Primary

Addresses

Primary practice location

7675 Wolf River Cir Ste 101
Germantown, TN 38138-1748

Mailing address

7675 Wolf River Cir Ste 101
Germantown, TN 38138-1748
Phone (901) 682-1529

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151112003037 MS Practitioner - Qualified Audiologist 8527127638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7165 Getwell Rd
Suite 1
Southaven, MS 38672-9618
Phone (662) 349-7676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Desoto Thyroid and Endocrinology CurrentSince Nov 2, 2015 Accepting new patients
Northwest Mississippi Otolaryngology Head & Neck Surgery, LLC CurrentSince Nov 2, 2015 Accepting new patients
Ut Medical Group, Inc. Past Accepting new patients
Memphis Hearing Aid & Audiological Services Audiologist Past Accepting new patients

Locations

7165 Getwell Rd
Bldg H1
Southaven, MS 38672
Phone (662) 349-7676

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFDIBD

Organizations & group practices 4

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": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1205087905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7675 WOLF RIVER CIR STE 101",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381748",
            "telephone_number": "901-682-1529",
            "fax_number": "901-761-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7675 WOLF RIVER CIR STE 101",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381748",
            "telephone_number": "901-682-1529",
            "fax_number": "901-761-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDINO",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "1487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.