Individual provider Active NPI

Andrea Plotkowski, AU.D.

  • Audiologist
  • Knoxville, TN
National Provider Identifier
1376097964
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1799 Issued in TN
Practice address
9430 Park West Blvd Ste 335
Knoxville, TN 37923-4206
Phone
(865) 693-6065
NPI assigned
Aug 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1799 TN Primary

Addresses

Primary practice location

9430 Park West Blvd Ste 335
Knoxville, TN 37923-4206

Mailing address

9430 Park West Blvd Ste 335
Knoxville, TN 37923-4206
Phone (865) 693-6065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160919001132 TN Practitioner - Qualified Audiologist 0749577823 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1799TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Ear, Nose & Throat Consultants, PC Audiologist CurrentSince Aug 9, 2016 Accepting new patients
Appalachian Audiology, PLLC Audiologist PastSince Mar 1, 2008 Accepting new patients
Allergy Associates, P.a. Past Accepting new patients

Locations

Dept 888604
Knoxville, TN 37995

9430 Park West Blvd
Ste 330
Knoxville, TN 37923
Phone (865) 271-6534

9430 Park West Blvd
Ste 335
Knoxville, TN 37923
Phone (865) 693-6065

576 Fort Loudoun Med Center Dr
Ste 207
Lenoir City, TN 37772
Phone (865) 271-6534

Organizations & group practices 3

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": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1376097964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9430 PARK WEST BLVD STE 335",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234206",
            "telephone_number": "865-693-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 PARK WEST BLVD STE 335",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234206",
            "telephone_number": "865-693-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOTKOWSKI",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "1799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.