Individual provider Active NPI

Rynda Kay Andrew, B.C -H.I.S.

  • Hearing Instrument Specialist
  • Griffin, GA
National Provider Identifier
1225382104
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HADS000972 Issued in GA
Practice address
606 S 8TH St
Griffin, GA 30224-4214
Phone
(770) 229-6666
NPI assigned
Oct 31, 2012
Last updated
Sep 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 80427 TX
Hearing Instrument Specialist 237700000X HADS000972 GA Primary

Addresses

Primary practice location

606 S 8TH St
Griffin, GA 30224-4214

Mailing address

85 Edgewater Drive
Griffin, GA 30223
Phone (281) 745-7471

Other identifiers 1

IdentifierTypeStateIssuer
80427OtherTXFITTER AND DISPENSER LICENSE

Other names 1

  • Rynda Kay Tong Former name

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

LicenseStateTypeSpecialty
HADS000972GAMDHearing Instrument Specialist
80427TXMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Gemma Wall LLC PastSince Jan 21, 2010 Accepting new patients

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": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1225382104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 EDGEWATER DRIVE",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "30223",
            "telephone_number": "281-745-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244214",
            "telephone_number": "770-229-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREW",
        "first_name": "RYNDA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "B.C -H.I.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-31",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "80427",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "GA",
            "license": "HADS000972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FITTER AND DISPENSER LICENSE",
            "identifier": "80427",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RYNDA",
            "last_name": "TONG",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Griffin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.