Tia Marie Carroll, M.S. CCC-A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

CA AU 2367 Issued in CA

Practice address

4141 Geary Blvd
1St Floor
San Francisco, CA 94118-3109

Phone

(415) 833-8222

Fax

(415) 833-8444

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Tia Marie West Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Interoperability endpoints

• Direct secure messaging: tcarroll3507@direct.seattlechildrens.org

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336200534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 ROLLINS RD",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940102842",
            "telephone_number": "720-318-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 GEARY BLVD",
            "address_2": "1ST FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183109",
            "telephone_number": "415-833-8222",
            "fax_number": "415-833-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "TIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "CA AU 2367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIA",
            "last_name": "WEST",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "M. S. CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mandy Murphy Carroll, MPH, RD
• Melanie D. Carroll, MA
• Michael L. Carroll
• Peter R. Carroll, M.D.
• Ryan Carroll
• Ursula Carroll, LCSW
• Rebecca Carron
• Kyle A Carsillo
• Dorothy Marie Carson
• Emily Carson, DNP, PMHNP

• Audiologist-Hearing Aid Fitter in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Audiologist-Hearing Aid Fitter in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.