Organization Active NPI

Tennessee Audiology Partners, Inc

Doing business as Audiology & Hearing Center Cookeville & McMinnville

  • Audiologist
  • Cookeville, TN
National Provider Identifier
1386943686
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-00185 Issued in TN
Legal business name
TENNESSEE AUDIOLOGY PARTNERS, INC
Doing business as
Audiology & Hearing Center Cookeville & McMinnville
Cookeville Audiology
McMinnville Hearing Center
Practice address
1711 S Jefferson Ave
Cookeville, TN 38506-5581
Phone
(931) 473-3833
NPI assigned
Mar 25, 2011
Last updated
Jan 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Lisa Davidson, AUDNPI 1932101300
Title
Doctor of Audiology/ Owner
Phone
(931) 473-3833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X A-00185 TN Primary

Addresses

Primary practice location

1711 S Jefferson Ave
Cookeville, TN 38506-5581

Mailing address

1711 S Jefferson Ave
Cookeville, TN 38506-5581
Phone (931) 473-3833

Other practice location 1

312 N Chancery St
McMinnville, TN 37110-2048
Phone (931) 473-3833

Other identifiers 1

IdentifierTypeStateIssuer
3075665OtherTNBLUE CROSS BLUE SHIELD

Other names 3

  • Audiology & Hearing Center Cookeville & McMinnville Doing business as
  • Cookeville Audiology Doing business as
  • McMinnville Hearing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110419000267 TN Part B Supplier - Clinic/Group Practice 2567477342 Receives reassigned benefits from 4 practitioners
Practice locations: McMinnville, TN; Cookeville, TN

National Provider Directory

National Provider Directory
Tax ID family
Audiology Mana Gement Ser2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

728 S Jefferson Ave
Ste 8
Cookeville, TN 38501
Phone (931) 526-6220

1711 S Jefferson Ave
Cookeville, TN 38506
Phone (270) 858-3341

904 N Chancery St
Ste 1
McMinnville, TN 37110
Phone (931) 473-3833

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1386943686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 S JEFFERSON AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385065581",
            "telephone_number": "931-473-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 S JEFFERSON AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385065581",
            "telephone_number": "931-473-3833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 N Chancery St",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "TN",
            "postal_code": "371102048",
            "country_code": "US",
            "telephone_number": "931-473-3833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TENNESSEE AUDIOLOGY PARTNERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DOCTOR OF AUDIOLOGY/ OWNER",
        "authorized_official_telephone_number": "931-473-3833",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "TN",
            "license": "A-00185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3075665",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Audiology & Hearing Center Cookeville & McMinnville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cookeville Audiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McMinnville Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.