Individual provider Active NPI

Tannya E Poulter, M.S.

  • Audiologist
  • Whitman, MA
National Provider Identifier
1366613739
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
680 Issued in MA
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

Updated by the provider on Mar 13, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20100927000151 MA Practitioner - Qualified Audiologist 6507982675 Reassigns benefits to 1 organization

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
South Shore Hearing Center LLCGroup PAC ID 0042513780, 9 clinicians

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

LicenseStateTypeSpecialty
680MAMDFamily Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Hearing Center, LLC Audiologist CurrentSince Jan 4, 2016 Accepting new patients
South Shore Ear Nose and Throat P.C. PastSince Jan 3, 2012 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.

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.

Verify at the official NPI Registry.