Active NPI
Laura H Tenbrunsel, MCD
- Audiologist
- West Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 3434
- Practice address
- 146 N Hospital Dr
Suite 120
West Columbia, SC 29169-4800 - Phone
- (803) 936-7530
- Fax
- (803) 936-7532
- NPI assigned
- Jul 28, 2006
- Last updated
- Nov 11, 2020
- 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 | SC | ||
| Audiologist | 231H00000X | 3434 | SC | Primary |
Addresses
Primary practice location
146 N Hospital Dr
Suite 120
West Columbia, SC 29169-4800
Mailing address
PO Box 6069
West Columbia, SC 29171-6069
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA0762 | Medicaid | SC | |
| Q349201305 | Other | SC | MEDICARE PTAN |
| GP4644 | Other | SC | MEDICAID GROUP NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ltenbrunsel55808@direct.lexmed.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2295 Henry Tecklenburg Dr
Charleston, SC 29414-7801
Phone (843) 766-7103
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.33 of 100
- Quality
- 86.06
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3434 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston ENT Associates, LLC | Current | Accepting new patients | |
| Charleston ENT Associates, LLC | Current | Accepting new patients |
Locations
1849 Savage Rd
Charleston, SC 29407
Phone (843) 576-2600
2295 Henry Tecklenburg Dr
Charleston, SC 29414
Interoperability endpoints
- laura.tenbrunsel.p1@direct.entap.nextgenshare.com
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.
-
- Otolaryngology Physician
- Charleston, SC
- NPI 1588607303
-
dba Surgery Center of Charleston
- Ambulatory Surgical Clinic/Center
- Charleston, SC
- NPI 1124026422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1417961491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6069",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291716069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 N HOSPITAL DR",
"address_2": "SUITE 120",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291694800",
"telephone_number": "803-936-7530",
"fax_number": "803-936-7532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENBRUNSEL",
"first_name": "LAURA",
"middle_name": "H",
"name_prefix": "Mrs.",
"credential": "MCD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "SC",
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "SC",
"license": "3434",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SA0762",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "Q349201305",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP NUMBER",
"identifier": "GP4644",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ltenbrunsel55808@direct.lexmed.com",
"affiliation": "N",
"address_1": "146 N Hospital Dr",
"address_2": "Suite 120",
"city": "West Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "291694800",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.