Tammy Lee Johnson

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

000426 Issued in CT

Practice address

1151 E Main St Ste B
Torrington, CT 06790-3983

Phone

(860) 626-8450

Fax

(860) 626-8452

NPI assigned

Mar 20, 2020

Last updated

Mar 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Northeast Hearing LLC

  dba Miracle Ear

  • Hearing Aid Equipment
  • Torrington, CT
  • NPI 1922309269
  NPD (past)

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1508492620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 COLONY DR",
            "city": "WINSTED",
            "state": "CT",
            "postal_code": "060981809",
            "telephone_number": "860-480-8131",
            "fax_number": "860-626-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 E MAIN ST STE B",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903983",
            "telephone_number": "860-626-8450",
            "fax_number": "860-626-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TAMMY",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CT",
            "license": "000426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tjohnson@frasierenterprises.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1151 E Main St Ste B",
            "city": "Torrington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "067903983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Ann Joerg, A.P.R.N.
• Camellia A Johnson, LCSW,MSW,BA
• Christine Johnson, RPH
• Makia Johnson, LCSW
• Michelle Marie Johnson, PHYSICAL THERAPIST
• Netasia Jones
• Jorge F Baujin
• Alena Josephson, MS
• Robert W Kahan, MD
• Kaleidoscope Growth, LLC

• Hearing Instrument Specialist in Torrington, CT
• Providers in Torrington, CT by specialty
• Hearing Instrument Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.