Individual provider Active NPI

Tracy Eubank

  • Hearing Instrument Specialist
  • Christiansburg, VA
National Provider Identifier
1386265957
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
2101002164 Issued in VA
Practice address
100 Arbor Dr
Christiansburg, VA 24073-6585
Phone
(540) 381-4327
NPI assigned
May 5, 2020
Last updated
May 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2101002164VAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Hearing Group LLC Hearing Instrument Specialist CurrentSince May 17, 2020 Accepting new patients
Menm, LLC Hearing Instrument Specialist PastSince Sep 20, 2022 Accepting new patients
Menm, LLC Hearing Instrument Specialist PastSince Sep 20, 2022 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.

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

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.

Verify at the official NPI Registry.