Individual provider Active NPI

Elizabeth Lynn Humphrey, AUD., CCC-A

  • Audiologist
  • Knoxville, TN
National Provider Identifier
1285673442
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0000001391 Issued in TN
Practice address
U.T. Hearing and Speech Center
1600 Peyton Manning Pass
Knoxville, TN 37996-0001
Phone
(865) 974-5453
Fax
(865) 974-1792
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 0000001391 TN Primary

Addresses

Primary practice location

U.T. Hearing and Speech Center
1600 Peyton Manning Pass
Knoxville, TN 37996-0001

Mailing address

U.T. Hearing and Speech Center
1600 Peyton Manning Pass
Knoxville, TN 37996-0001
Phone (865) 974-5453

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070509000480 TN Practitioner - Qualified Audiologist 4880790732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of TennesseeGroup PAC ID 3072421213, 64 clinicians

Practice addresses (Care Compare)

600 Henley St
Suite 213
Knoxville, TN 37996-4502
Phone (865) 974-5453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1391TNMDClinical Psychologist
0000001391TNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Tennessee Audiologist CurrentSince Oct 31, 2005 Accepting new patients
University of Tennessee CurrentSince Oct 31, 2005 Accepting new patients
University of Tennessee Current Accepting new patients

Locations

600 Henley St
Ste 213
Knoxville, TN 37996
Phone (865) 974-5453

Organizations & group practices 3

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1285673442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "U.T. HEARING AND SPEECH CENTER",
            "address_2": "1600 PEYTON MANNING PASS",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379960001",
            "telephone_number": "865-974-5453",
            "fax_number": "865-974-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "U.T. HEARING AND SPEECH CENTER",
            "address_2": "1600 PEYTON MANNING PASS",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379960001",
            "telephone_number": "865-974-5453",
            "fax_number": "865-974-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "ELIZABETH",
        "middle_name": "LYNN",
        "credential": "AUD., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "0000001391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.