Active NPI
Tara Wingate, AUD
- Audiologist
- Roseville, MN
National Provider Identifier
1427746122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 518106
- Practice address
- 2345 Fairview Ave N
Roseville, MN 55113-2724 - Phone
- (651) 633-4642
- NPI assigned
- May 1, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 518106 | MN | Primary |
Addresses
Primary practice location
2345 Fairview Ave N
Roseville, MN 55113-2724
Mailing address
2345 Fairview Ave N
Roseville, MN 55113-2724
Phone (651) 633-4642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Americas Hearing Group LLC | Current | Accepting new patients |
Locations
2194 Main St
Ste C
Dunedin, FL 34698
Phone (727) 733-2625
4119 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 402-0094
2345 Fairview Ave N
Roseville, MN 55113
Phone (651) 633-4642
149 Plantation Ridge Dr
Ste 140
Mooresville, NC 28117
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 and National Provider Directory roles.
-
- Audiologist-Hearing Aid Fitter
- Anoka, MN
- NPI 1124891361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1427746122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 FAIRVIEW AVE N",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551132724",
"telephone_number": "651-633-4642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 FAIRVIEW AVE N",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551132724",
"telephone_number": "651-633-4642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINGATE",
"first_name": "TARA",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-01",
"last_updated": "2023-05-01",
"certification_date": "2023-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MN",
"license": "518106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.