Individual provider Active NPI

Kristy Lynn Tucker, HIS

  • Audiologist-Hearing Aid Fitter
  • Farmington, NM
National Provider Identifier
1306354931
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
HAD0826 Issued in NM
Practice address
4001 N Butler Ave Ste 5101
Farmington, NM 87401-2392
Phone
(505) 326-2791
Fax
(505) 326-2791
NPI assigned
Jan 17, 2018
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X HAD0000214 CO
Audiologist-Hearing Aid Fitter 237600000X HAD0826 NM Primary

Addresses

Primary practice location

4001 N Butler Ave Ste 5101
Farmington, NM 87401-2392

Mailing address

4001 N Butler Ave Ste 5101
Farmington, NM 87401-2392
Phone (505) 326-2791

Other practice location 1

315 Edison Ave
Alamosa, CO 81101-2580
Phone (505) 239-2426

Other identifiers 2

IdentifierTypeStateIssuer
HAD0000214OtherCOHEARING AID DISPENSER
HAD0826OtherNMHEARING AID DISPENSER

Other names 1

  • Kristy Lynn Rosner Former name

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

LicenseStateTypeSpecialty
HAD0000214COMDAudiologist-Hearing Aid Fitter
HAD0826NMMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Zia Hearing Center, LLC Current Accepting new patients
Hearing Associates of Alamosa Inc Past Accepting new patients

Locations

4001 N Butler Ave
Ste 5101
Farmington, NM 87401
Phone (505) 325-3159

Organizations & group practices 2

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": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1306354931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 N BUTLER AVE STE 5101",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012392",
            "telephone_number": "505-326-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 N BUTLER AVE STE 5101",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012392",
            "telephone_number": "505-326-2791",
            "fax_number": "505-326-2791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Edison Ave",
            "address_purpose": "LOCATION",
            "city": "Alamosa",
            "state": "CO",
            "postal_code": "811012580",
            "country_code": "US",
            "telephone_number": "505-239-2426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "KRISTY",
        "middle_name": "LYNN",
        "credential": "HIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CO",
            "license": "HAD0000214",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NM",
            "license": "HAD0826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING AID DISPENSER",
            "identifier": "HAD0000214",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING AID DISPENSER",
            "identifier": "HAD0826",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTY",
            "last_name": "ROSNER",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.