Active NPI
Ethan Michael Tease, HIS
- Hearing Instrument Specialist
- Decatur, AL
National Provider Identifier
1336988013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- Practice address
- 222 Moulton St E
Decatur, AL 35601-2314 - Phone
- (256) 686-4896
- NPI assigned
- May 22, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | AL | Primary |
Addresses
Primary practice location
222 Moulton St E
Decatur, AL 35601-2314
Mailing address
6700 Washington Ave S
Eden Prairie, MN 55344-3405
Phone (507) 456-4752
Other practice location 1
201 Veterans Dr Ste 106
Scottsboro, AL 35768-2168
Phone (256) 259-2242
Other practice location 2
26642 Main St
Ardmore, AL 35739-8273
Phone (256) 423-4327
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1336988013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 WASHINGTON AVE S",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443405",
"telephone_number": "507-456-4752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 MOULTON ST E",
"city": "DECATUR",
"state": "AL",
"postal_code": "356012314",
"telephone_number": "256-686-4896"
}
],
"practiceLocations": [
{
"address_1": "201 Veterans Dr Ste 106",
"address_purpose": "LOCATION",
"city": "Scottsboro",
"state": "AL",
"postal_code": "357682168",
"country_code": "US",
"telephone_number": "256-259-2242",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "26642 Main St",
"address_purpose": "LOCATION",
"city": "Ardmore",
"state": "AL",
"postal_code": "357398273",
"country_code": "US",
"telephone_number": "256-423-4327",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEASE",
"first_name": "ETHAN",
"middle_name": "MICHAEL",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-22",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "AL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.