Individual provider Active NPI

Tami Lee Ike, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Greensboro, NC
National Provider Identifier
1568407443
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
1691 Issued in NC
Practice address
532 N Elam Ave Ste a
Greensboro, NC 27403-1156
Phone
(336) 852-4095
Fax
(336) 852-4097
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 1691 NC Primary

Addresses

Primary practice location

532 N Elam Ave Ste a
Greensboro, NC 27403-1156

Mailing address

215 Shuman Blvd Ste 401
Naperville, IL 60563-8123
Phone (630) 303-5380

Other practice location 1

801 N Lindsay St
Suite A
High Point, NC 27262-3942
Phone (336) 883-2815

Other practice location 2

801 N Lindsay St
Suite A
High Point, NC 27262-3942
Phone (336) 883-2815

Other identifiers 1

IdentifierTypeStateIssuer
45269OtherNCBCBS NC INDIVIDUAL PROVID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1691NCMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1568407443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SHUMAN BLVD STE 401",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638123",
            "telephone_number": "630-303-5380",
            "fax_number": "630-303-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 N ELAM AVE STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031156",
            "telephone_number": "336-852-4095",
            "fax_number": "336-852-4097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 N Lindsay St",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272623942",
            "country_code": "US",
            "telephone_number": "336-883-2815",
            "fax_number": "336-882-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 N Lindsay St",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272623942",
            "country_code": "US",
            "telephone_number": "336-883-2815",
            "fax_number": "336-882-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IKE",
        "first_name": "TAMI",
        "middle_name": "LEE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NC",
            "license": "1691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC INDIVIDUAL PROVID",
            "identifier": "45269",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.