Organization Active NPI

Tri-State Audiology LLC

  • Audiologist
  • Weirton, WV
National Provider Identifier
1528084704
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
TRI-STATE AUDIOLOGY LLC
Practice address
499 Colliers Way
Weirton, WV 26062-5011
Phone
(304) 723-1592
Fax
(304) 723-1594
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Ms. Jill Hawkins, M.S., CCC-ANPI 1043378649
Title
Audiologist
Phone
(304) 723-1592

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

499 Colliers Way
Weirton, WV 26062-5011

Mailing address

499 Colliers Way
Weirton, WV 26062-5011
Phone (304) 723-1592

Other identifiers 1

IdentifierTypeStateIssuer
AUD800OtherHEALTH PLAN OF UPPER OHIO

National Provider Directory

National Provider Directory

Locations

485 Colliers Way
Ste F
Weirton, WV 26062
Phone (304) 723-1592

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1528084704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 COLLIERS WAY",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625011",
            "telephone_number": "304-723-1592",
            "fax_number": "304-723-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 COLLIERS WAY",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625011",
            "telephone_number": "304-723-1592",
            "fax_number": "304-723-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE AUDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "304-723-1592",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF UPPER OHIO",
            "identifier": "AUD800",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.