Active NPI
Tracy Eubank
- Hearing Instrument Specialist
- Christiansburg, VA
National Provider Identifier
1386265957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2101002164
- Practice address
- 100 Arbor Dr
Christiansburg, VA 24073-6585 - Phone
- (540) 381-4327
- NPI assigned
- May 5, 2020
- Last updated
- May 5, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2101002164 | VA | Primary |
Addresses
Primary practice location
100 Arbor Dr
Christiansburg, VA 24073-6585
Mailing address
326 Albemarle Ave SE
Roanoke, VA 24013-2322
Phone (540) 588-0184
Other practice location 1
1103 Brookdale St Ste C
Martinsville, VA 24112-4531
Phone (276) 632-1806
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2101002164 | VA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Hearing Group LLC | Hearing Instrument Specialist | Current | Accepting new patients |
| Menm, LLC | Hearing Instrument Specialist | Past | Accepting new patients |
| Menm, LLC | Hearing Instrument Specialist | Past | Accepting new patients |
| Menm, LLC | Hearing Instrument Specialist | Past | Accepting new patients |
Locations
326 Albemarle Ave SE
Roanoke, VA 24013
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Miracle-Ear Centers
- Hearing Instrument Specialist
- Myrtle Beach, SC
- NPI 1841794153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588636800000",
"number": "1386265957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 ALBEMARLE AVE SE",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240132322",
"telephone_number": "540-588-0184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ARBOR DR",
"city": "CHRISTIANSBURG",
"state": "VA",
"postal_code": "240736585",
"telephone_number": "540-381-4327"
}
],
"practiceLocations": [
{
"address_1": "1103 Brookdale St Ste C",
"address_purpose": "LOCATION",
"city": "Martinsville",
"state": "VA",
"postal_code": "241124531",
"country_code": "US",
"telephone_number": "276-632-1806",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EUBANK",
"first_name": "TRACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-05",
"last_updated": "2020-05-05",
"certification_date": "2020-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "VA",
"license": "2101002164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Christiansburg, VA
- Katherine P Edson, M.D.
- Brandy Lorraine Edwards, MD
- Amaechi Egbujuo, APRN, PMHNP-BC
- Ellis Home Oxygen and Medical Equipment (CarePlus Medical)
- Sherry Franklin Eubank, NP
- Amber Jean Eversole, L.P.C.
- Eye Care Christiansburg Inc (Invision)
- Conard F Failinger, M. D.
- Jessica Lynne Fairley, PHARM.D
- Family Dental Clinic of the New River Valley, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.