Active NPI
Marilyn Tutt, AUD
- Audiologist
- Fairfield, OH
National Provider Identifier
1205473626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A.02158
- Practice address
- 5380 Pleasant Ave Ste 1B
Fairfield, OH 45014-3500 - Phone
- (513) 863-2938
- Fax
- (513) 785-4023
- NPI assigned
- Dec 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | A.02158 | OH | |
| Audiologist | 231H00000X | A.02158 | OH | Primary |
Addresses
Primary practice location
5380 Pleasant Ave Ste 1B
Fairfield, OH 45014-3500
Mailing address
215 Shuman Blvd Ste 401
Naperville, IL 60563-8123
Phone (630) 303-5380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A.02158 | OH | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect Hearing Inc | Audiologist | Current | Accepting new patients |
Locations
215 Shuman Blvd
Ste 401
Naperville, IL 60563
Phone (331) 229-8279
5380 Pleasant Ave
Ste 1B
Fairfield, OH 45014
Phone (513) 863-2938
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": "1575417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575417600000",
"number": "1205473626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 SHUMAN BLVD STE 401",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605638123",
"telephone_number": "630-303-5380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5380 PLEASANT AVE STE 1B",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450143500",
"telephone_number": "513-863-2938",
"fax_number": "513-785-4023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUTT",
"first_name": "MARILYN",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-04",
"last_updated": "2019-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "OH",
"license": "A.02158",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A.02158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.