Active NPI
Marcy K Hite, AU.D., PH.D., CCC-A
- Audiologist
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- SP1853
- Practice address
- 156 South Dossett Drive
Johnson City, TN 37614-1702 - Phone
- (423) 439-4355
- Fax
- (423) 439-4607
- NPI assigned
- Mar 8, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 80449 | TX | |
| Audiologist | 231H00000X | SP1853 | TN | Primary |
Addresses
Primary practice location
156 South Dossett Drive
Johnson City, TN 37614-1702
Mailing address
PO Box 699
Mountain Home, TN 37684-0699
Phone (423) 439-4584
Other practice location 1
3601 4th St
Ste. 2A300
Lubbock, TX 79430-0002
Phone (806) 743-5678
Other practice location 2
1000 Jason Witten Way
Elizabethton, TN 37643-2970
Phone (423) 439-4355
Other practice location 3
2151 Century Lane
Johnson City, TN 37604-4469
Phone (423) 926-2500
Other practice location 4
325 N. State of Franklin Road
Ground Floor
Johnson City, TN 37604-6062
Phone (423) 439-7320
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q034178 | Medicaid | TN | |
| 80449 | Other | TX | TEXAS LICENSURE |
| 14062359 | Other | MD | ASHA BOARD CERTIFICATE |
| SP1853 | Other | TN | STATE OF TENNESSEE DEPARTMENT OF HEALTH DIVISION OF HEALTH LICENSURE AND REGULAT |
Other names 1
- Marcy K Lau
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Jason Witten Way
Elizabethton, TN 37643-2970
Phone (423) 439-4355
BLDG 52 Lake Dr
Mountain Home, TN 37684-0001
Phone (423) 439-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP1853 | TN | MD | Audiologist |
| 1853 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Education Assistance Corporation | Current | Accepting new patients | |
| East Tennessee State University | Past | Accepting new patients |
Locations
1000 Jason Witten Way
Elizabethton, TN 37643
Phone (423) 547-4915
325 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 439-7280
400 E State of Franklin Rd
Johnson City, TN 37601
Phone (423) 433-6200
2151 Century Ln
Johnson City, TN 37604
Phone (423) 439-4071
Organizations & group practices 2
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 ETSU Physicians and Associates
- Internal Medicine Physician
- Johnson City, TN
- NPI 1235180480
-
dba Johnson City Community Health Center
- Federally Qualified Health Center (FQHC)
- Johnson City, TN
- NPI 1477660199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1417298969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 699",
"city": "MOUNTAIN HOME",
"state": "TN",
"postal_code": "376840699",
"telephone_number": "423-439-4584",
"fax_number": "423-439-4607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 SOUTH DOSSETT DRIVE",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376141702",
"telephone_number": "423-439-4355",
"fax_number": "423-439-4607"
}
],
"practiceLocations": [
{
"address_1": "3601 4th St",
"address_2": "Ste. 2A300",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794300002",
"country_code": "US",
"telephone_number": "806-743-5678",
"fax_number": "806-743-5670",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Jason Witten Way",
"address_purpose": "LOCATION",
"city": "Elizabethton",
"state": "TN",
"postal_code": "376432970",
"country_code": "US",
"telephone_number": "423-439-4355",
"fax_number": "423-439-4607",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2151 Century Lane",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376044469",
"country_code": "US",
"telephone_number": "423-926-2500",
"fax_number": "423-926-5999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "325 N. State of Franklin Road",
"address_2": "Ground Floor",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376046062",
"country_code": "US",
"telephone_number": "423-439-7320",
"fax_number": "423-439-7343",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HITE",
"first_name": "MARCY",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "AU.D., PH.D., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-08",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "80449",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TN",
"license": "SP1853",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q034178",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS LICENSURE",
"identifier": "80449",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA BOARD CERTIFICATE",
"identifier": "14062359",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF TENNESSEE DEPARTMENT OF HEALTH DIVISION OF HEALTH LICENSURE AND REGULAT",
"identifier": "SP1853",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARCY",
"last_name": "LAU",
"middle_name": "K",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.