Drewry Gresham Tatterson

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

2433 Issued in VA

Practice address

291 Independence Blvd Ste 132
Virginia Beach, VA 23462-5476

Phone

(757) 497-3900

NPI assigned

Jan 27, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grohler Hearing Aid Center, Inc.

  • Hearing Instrument Specialist
  • Virginia Beach, VA
  • NPI 1245280973
  NPD (past)

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1366033987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 INDEPENDENCE BLVD STE 132",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625476",
            "telephone_number": "757-497-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 INDEPENDENCE BLVD STE 132",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625476",
            "telephone_number": "757-497-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATTERSON",
        "first_name": "DREWRY",
        "middle_name": "GRESHAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "VA",
            "license": "2433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPOR-VA",
            "identifier": "2433",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lashara Rashane Tate
• Madison Pauline Tatum, NP
• Summer Michele Tatum
• Steven M Taubman, DPM
• Jahaira Tavares, LCSW
• Tavia Care LLC

• Hearing Instrument Specialist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Hearing Instrument Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.