Organization Active NPI

Appalachian Audiology, PLLC

  • Audiologist
  • Knoxville, TN
National Provider Identifier
1316110240
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A142 Issued in TN
Legal business name
APPALACHIAN AUDIOLOGY, PLLC
Practice address
130 Mabry Hood Rd
Suite 103
Knoxville, TN 37922-2221
Phone
(865) 357-2334
Fax
(865) 357-2416
NPI assigned
Apr 11, 2008
Last updated
Jan 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Dr. Janice R Dungan, AUD
Title
President
Phone
(865) 357-2334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A142 TN Primary

Addresses

Primary practice location

130 Mabry Hood Rd
Suite 103
Knoxville, TN 37922-2221

Mailing address

130 Mabry Hood Rd
Suite 103
Knoxville, TN 37922-2221
Phone (865) 357-2334

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090106000279 TN Part B Supplier - Clinic/Group Practice 6709949548 Receives reassigned benefits from 1 practitioner
Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory

Locations

130 Mabry Hood Rd
Knoxville, TN 37922

130 Mabry Hood Rd
Ste 103
Knoxville, TN 37922
Phone (865) 357-2334

251 S Peters Rd
Knoxville, TN 37923
Phone (865) 357-2334

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1316110240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MABRY HOOD RD",
            "address_2": "SUITE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222221",
            "telephone_number": "865-357-2334",
            "fax_number": "865-357-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MABRY HOOD RD",
            "address_2": "SUITE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222221",
            "telephone_number": "865-357-2334",
            "fax_number": "865-357-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN AUDIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "DUNGAN",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-357-2334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "A142",
            "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 Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.