Organization Active NPI

Coastal Hearing and Balance, LLC

Doing business as Ascent Audiology and Hearing

  • Audiologist
  • Fairhope, AL
National Provider Identifier
1205226289
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
COASTAL HEARING AND BALANCE, LLC
Doing business as
Ascent Audiology and Hearing
Practice address
101 Lottie LN Ste 2
Fairhope, AL 36532-7309
Phone
(251) 990-0535
Fax
(251) 990-0538
NPI assigned
Jan 29, 2015
Last updated
Apr 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Dr. Andrew P Tubertini, AU.D.NPI 1578601514
Title
Owner
Phone
(251) 550-6514

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X NU
Hearing Aid Equipment 332S00000X NU
Audiologist 231H00000X NU Primary

Addresses

Primary practice location

101 Lottie LN Ste 2
Fairhope, AL 36532-7309

Mailing address

101 Lottie LN Ste 2
Fairhope, AL 36532-7309
Phone (251) 990-0535

Other practice location 1

28851 N Main St Ste G
Daphne, AL 36526-7273
Phone (251) 990-0535

Other names 1

  • Ascent Audiology and Hearing Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190401002515 AL Part B Supplier - Clinic/Group Practice 1254672215 Receives reassigned benefits from 2 practitioners
Practice locations: Daphne, AL; Fairhope, AL

National Provider Directory

National Provider Directory

Locations

28851 N Main St
Ste G
Daphne, AL 36526
Phone (251) 990-0535

101 Lottie Ln
Ste 2
Fairhope, AL 36532
Phone (251) 990-0535

105 Lottie Ln
Ste A
Fairhope, AL 36532

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1205226289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LOTTIE LN STE 2",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365327309",
            "telephone_number": "251-990-0535",
            "fax_number": "251-990-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LOTTIE LN STE 2",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365327309",
            "telephone_number": "251-990-0535",
            "fax_number": "251-990-0538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28851 N Main St Ste G",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365267273",
            "country_code": "US",
            "telephone_number": "251-990-0535",
            "fax_number": "251-990-0538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL HEARING AND BALANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "TUBERTINI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-550-6514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascent Audiology and Hearing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ascent Audiology and Hearing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.