Individual provider Active NPI

Tania Edwards, AUDD

  • Audiologist
  • Goodyear, AZ
National Provider Identifier
1295280949
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
2700 N 140TH Ave Ste 107
Goodyear, AZ 85395-2439
Phone
(623) 535-8770
Fax
(623) 535-8771
NPI assigned
Aug 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AZ Primary

Addresses

Primary practice location

2700 N 140TH Ave Ste 107
Goodyear, AZ 85395-2439

Mailing address

2700 N 140TH Ave Ste 107
Goodyear, AZ 85395-2439
Phone (623) 535-8770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160902001646 AZ Practitioner - Qualified Audiologist 9032405857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Estrella Ear Nose and Throat PCGroup PAC ID 4082741087, 4 clinicians

Practice addresses (Care Compare)

2700 N 140TH Ave
Suite 107
Goodyear, AZ 85395-2439
Phone (623) 535-8770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Estrella Ear, Nose and Throat PC CurrentSince Aug 1, 2016 Accepting new patients

Locations

2700 N 140th Ave
Ste 107
Goodyear, AZ 85395
Phone (623) 535-8770

2700 N 140th Ave
Goodyear, AZ 85395

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7486/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFAACD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFAACD/Endpoint/AFAACD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1295280949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N 140TH AVE STE 107",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952439",
            "telephone_number": "623-535-8770",
            "fax_number": "623-535-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N 140TH AVE STE 107",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952439",
            "telephone_number": "623-535-8770",
            "fax_number": "623-535-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "TANIA",
        "credential": "AUDD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.