Active NPI
Tyler P Phillips, AUD
- Audiologist
- Knoxville, TN
National Provider Identifier
1417565904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1997
- Practice address
- 144 Concord Rd
Knoxville, TN 37934-2901 - Phone
- (865) 777-1727
- Fax
- (865) 966-0942
- NPI assigned
- Jul 21, 2020
- Last updated
- Jul 21, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1997 | TN | Primary |
Addresses
Primary practice location
144 Concord Rd
Knoxville, TN 37934-2901
Mailing address
144 Concord Rd
Knoxville, TN 37934-2901
Phone (865) 777-1727
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
- University of Tennessee, HSC, College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
144 Concord Rd
Knoxville, TN 37934-2901
Phone (865) 777-1727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1997 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otolaryngology Head and Neck Surgery Associates | Current | Accepting new patients | |
| Merit Anesthesia PLLC | Current | Accepting new patients |
Locations
144 Concord Rd
Knoxville, TN 37934
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.
-
- Specialist
- Knoxville, TN
- NPI 1184704207
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1366624967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595289600000",
"number": "1417565904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 CONCORD RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379342901",
"telephone_number": "865-777-1727",
"fax_number": "865-966-0942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 CONCORD RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379342901",
"telephone_number": "865-777-1727",
"fax_number": "865-966-0942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "TYLER",
"middle_name": "P",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-21",
"last_updated": "2020-07-21",
"certification_date": "2020-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TN",
"license": "1997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.