Organization Active NPI

Middle Tennessee Audiology, Inc

  • Audiologist
  • Hendersonville, TN
National Provider Identifier
1316396534
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A0000001570 Issued in TN
Legal business name
MIDDLE TENNESSEE AUDIOLOGY, INC
Practice address
166B E Main St
Hendersonville, TN 37075-2520
Phone
(615) 447-5660
Fax
(615) 447-5661
NPI assigned
Jun 8, 2016
Last updated
Jun 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Authorized official

Name
Dr. Noreen Daly Gibbens, AUD
Title
Owner
Phone
(615) 447-5660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A0000001570 TN Primary

Addresses

Primary practice location

166B E Main St
Hendersonville, TN 37075-2520

Mailing address

166B E Main St
Hendersonville, TN 37075-2520
Phone (615) 447-5660

Other identifiers 1

IdentifierTypeStateIssuer
A0000001570OtherTNSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

166 E Main St
#B
Hendersonville, TN 37075
Phone (615) 447-5660

Practitioners & affiliated clinicians

Practitioners 1

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": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1316396534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166B E MAIN ST",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752520",
            "telephone_number": "615-447-5660",
            "fax_number": "615-447-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166B E MAIN ST",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752520",
            "telephone_number": "615-447-5660",
            "fax_number": "615-447-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE TENNESSEE AUDIOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "GIBBENS",
        "authorized_official_first_name": "NOREEN",
        "authorized_official_middle_name": "DALY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-447-5660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "A0000001570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A0000001570",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.