Individual provider Active NPI

Tiffany Carter Ahlberg, AU.D., CCC-A

  • Audiologist-Hearing Aid Fitter
  • Cleveland, TN
National Provider Identifier
1285870915
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
1246 Issued in TN
Practice address
4220 Ocoee St N Ste 102
Cleveland, TN 37312-4829
Phone
(423) 641-0956
Fax
(423) 641-0956
NPI assigned
Dec 31, 2008
Last updated
Sep 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 1246 TN Primary

Addresses

Primary practice location

4220 Ocoee St N Ste 102
Cleveland, TN 37312-4829

Mailing address

4220 Ocoee St N Ste 102
Cleveland, TN 37312-4829
Phone (423) 641-0956

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151215002936 TN Practitioner - Qualified Audiologist 9436450483 Reassigns benefits to 1 organization
Practice locations: Cleveland, TN

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahlberg Audiology and Hearing Aid Services LLCGroup PAC ID 9133455363, 3 clinicians

Practice addresses (Care Compare)

4220 Ocoee St N
Suite 102
Cleveland, TN 37312-4829
Phone (423) 641-0956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1246TNMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Ahlberg Audiology and Hearing Aid Services LLC CurrentSince Jul 1, 2019 Accepting new patients

Locations

605 Congress Pkwy S
Athens, TN 37303
Phone (423) 641-0956

2401 N Ocoee St
Ste 201
Cleveland, TN 37311
Phone (423) 641-0956

4220 Ocoee St N
Cleveland, TN 37312
Phone (423) 479-4220

4220 Ocoee St N
Ste 102
Cleveland, TN 37312
Phone (423) 641-0956

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": "1230681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1285870915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 OCOEE ST N STE 102",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124829",
            "telephone_number": "423-641-0956",
            "fax_number": "423-641-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 OCOEE ST N STE 102",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124829",
            "telephone_number": "423-641-0956",
            "fax_number": "423-641-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHLBERG",
        "first_name": "TIFFANY",
        "middle_name": "CARTER",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-31",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TN",
            "license": "1246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.