Frisco Hearing & Tinnitus Associates LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

License

80517 Issued in TX

Legal business name

FRISCO HEARING & TINNITUS ASSOCIATES LLC

Practice address

425 Old Newman Rd Ste 504
Frisco, TX 75034-4772

Phone

(404) 484-6305

NPI assigned

Oct 25, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Tysha Moana Powell, AUD

Title

Audiologist/ Owner

Phone

(404) 484-6305

Specialties & licenses 1

Addresses

Other names 1

• North Texas Tinnitus Associates Former legal business name

Locations

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1235641671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 OLD NEWMAN RD STE 504",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344772",
            "telephone_number": "404-484-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 OLD NEWMAN RD STE 504",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344772",
            "telephone_number": "404-484-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRISCO HEARING & TINNITUS ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "TYSHA",
        "authorized_official_middle_name": "MOANA",
        "authorized_official_title_or_position": "AUDIOLOGIST/ OWNER",
        "authorized_official_telephone_number": "404-484-6305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Texas Tinnitus Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Audiologist in Frisco, TX
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• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.