Tawni Wallace, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

13548114-4101 Issued in UT

Practice address

5855 Silver Creek Valley Rd
San Jose, CA 95138-1059

Phone

(408) 574-9100

NPI assigned

Aug 23, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1487438032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 THE WOODS DR APT 234",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951364634",
            "telephone_number": "818-439-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 SILVER CREEK VALLEY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951381059",
            "telephone_number": "408-574-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "TAWNI",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "13548114-4101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana Wall, OTR/L
• William Walter Wall, M.D.
• Aaron Wallace
• Dameon Wallace
• Shamika D Wallace, RN, BSN, CWC
• Tara-Ann Joy Waller, AU.D.
• Becky L Wallin, MD
• Julie Mae Wallingford, M.ED., BCBA
• Lydia Anna Walls
• David Wallsom

• Audiologist in San Jose, CA
• Providers in San Jose, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.