Kimberly R Tullock, M.A. - CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000110 Issued in MI

Practice address

1155 E. Sheman Blvd
Muskegon, MI 49444

Phone

(231) 737-0527

Fax

(231) 733-4093

NPI assigned

Mar 3, 2008

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

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• Hearing Health Mi LLC

  • Hearing Aid Equipment
  • Norton Shores, MI
  • NPI 1669872453
  Medicare reassignment

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1508036989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 E. SHEMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49444",
            "telephone_number": "231-737-0527",
            "fax_number": "231-733-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 E. SHEMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49444",
            "telephone_number": "231-737-0527",
            "fax_number": "231-733-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLOCK",
        "first_name": "KIMBERLY",
        "middle_name": "R",
        "credential": "M.A. - CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Mark Tucker, PA-C
• Avanthi Yasundara Tudor, M.D.
• Brenden Arias Tudor, LLPC, AT
• Jenna Ann Tudor, PHYSICIAN ASSISTANT
• Debra Lyn Tufts, MA, EDS, LLP
• Kyle Nathaniel Turcic, MD
• Alexandria Michelle Turner
• Alexis Turner, NP
• Cleodis N Turner
• Edith Marie Turner

• Audiologist in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.

Verify at the official NPI Registry.