Active NPI
Tim Landers
- Audiologist
- Tuskegee, AL
National Provider Identifier
1275564635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 843A
- Practice address
- 2400 Hospital Rd.
Cavhcs - 126
Tuskegee, AL 36083 - Phone
- (334) 727-0550
- Fax
- (334) 725-3074
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 843A | AL | Primary |
Addresses
Primary practice location
2400 Hospital Rd.
Cavhcs - 126
Tuskegee, AL 36083
Mailing address
609 Scottwoods Dr
Auburn, AL 36830-5219
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 |
|---|---|---|---|
| 843A | AL | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275564635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 SCOTTWOODS DR",
"city": "AUBURN",
"state": "AL",
"postal_code": "368305219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 HOSPITAL RD.",
"address_2": "CAVHCS - 126",
"city": "TUSKEGEE",
"state": "AL",
"postal_code": "36083",
"telephone_number": "334-727-0550",
"fax_number": "334-725-3074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDERS",
"first_name": "TIM",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AL",
"license": "843A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuskegee, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.