Individual provider Active NPI

Teresea N. Miller, HEARING AIDS

  • Hearing Instrument Specialist
  • Dixon, KY
National Provider Identifier
1396017430
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
0464 Issued in KY
Practice address
1871 US Highway 41a S
Dixon, KY 42409-9448
Phone
(270) 584-5572
NPI assigned
Feb 6, 2012
Last updated
Jul 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 0464 KY Primary
Hearing Instrument Specialist 237700000X 101418 KY

Addresses

Primary practice location

1871 US Highway 41a S
Dixon, KY 42409-9448

Mailing address

3716 Brown Rd
Madisonville, KY 42431-8915
Phone (270) 584-5572

Other identifiers 1

IdentifierTypeStateIssuer
1396017430OtherAMERICAN HEARING BENEFITS

Other names 1

  • Mrs. Teresea N. Hatler Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thatler1@hotmail.com Direct

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
0464KYMDPsychologist
101418KYMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Solutions Past Accepting new patients

Organizations & group practices 1

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": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1396017430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 BROWN RD",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424318915",
            "telephone_number": "270-584-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 US HIGHWAY 41A S",
            "city": "DIXON",
            "state": "KY",
            "postal_code": "424099448",
            "telephone_number": "270-584-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TERESEA",
        "middle_name": "N.",
        "name_prefix": "Mrs.",
        "credential": "HEARING AIDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "KY",
            "license": "0464",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "KY",
            "license": "101418",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEARING BENEFITS",
            "identifier": "1396017430",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thatler1@hotmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3716 Brown Rd",
            "city": "Madisonville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "424318915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TERESEA",
            "last_name": "HATLER",
            "middle_name": "N.",
            "prefix": "MRS.",
            "credential": "HEARING AIDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dixon, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.