Active NPI
Tannya E Poulter, M.S.
- Audiologist
- Whitman, MA
National Provider Identifier
1366613739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 680
- Practice address
- 6 Colebrook Blvd
Unit 7
Whitman, MA 02382-2067 - Phone
- (781) 523-1641
- NPI assigned
- Mar 13, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 680 | MA | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 680 | MA |
Addresses
Primary practice location
6 Colebrook Blvd
Unit 7
Whitman, MA 02382-2067
Mailing address
6 Colebrook Blvd
Unit 7
Whitman, MA 02382-2067
Phone (781) 523-1641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
541 Main St
Suite 418
Weymouth, MA 02190-1845
Phone (781) 337-6860
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 680 | MA | MD | Family Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Hearing Center, LLC | Audiologist | Current | Accepting new patients |
| South Shore Ear Nose and Throat P.C. | Past | Accepting new patients |
Locations
541 Main St
Ste 418
Weymouth, MA 02190
Phone (781) 337-6860
Organizations & group practices 2
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.
-
- Audiologist
- Weymouth, MA
- NPI 1255707501
-
- Otolaryngology Physician
- South Weymouth, MA
- NPI 1174807580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205366400000",
"number": "1366613739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 COLEBROOK BLVD",
"address_2": "UNIT 7",
"city": "WHITMAN",
"state": "MA",
"postal_code": "023822067",
"telephone_number": "781-523-1641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 COLEBROOK BLVD",
"address_2": "UNIT 7",
"city": "WHITMAN",
"state": "MA",
"postal_code": "023822067",
"telephone_number": "781-523-1641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POULTER",
"first_name": "TANNYA",
"middle_name": "E",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-13",
"last_updated": "2008-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "680",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MA",
"license": "680",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whitman, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.