Individual provider Active NPI

Haley Wright, MA, CCC/A

  • Audiologist
  • Oak Ridge, TN
National Provider Identifier
1588836795
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A0000001297 Issued in TN
Practice address
800 Oak Ridge Tpke
Suite C-101
Oak Ridge, TN 37830-6957
Phone
(865) 482-1086
Fax
(865) 482-4400
NPI assigned
Mar 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A0000001297 TN Primary
Audiologist 231H00000X 0837 KY

Addresses

Primary practice location

800 Oak Ridge Tpke
Suite C-101
Oak Ridge, TN 37830-6957

Mailing address

800 Oak Ridge Tpke
Suite C-101
Oak Ridge, TN 37830-6957
Phone (865) 482-1086

Other identifiers 1

IdentifierTypeStateIssuer
3192031MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080508000424 TN Practitioner - Qualified Audiologist 6002995552 Reassigns benefits to 1 organization
I20080523000420 KY Practitioner - Qualified Audiologist 6002995552

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Tennessee, HSC, College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Tennessee Ear, Nose and Throat Specialists, PCGroup PAC ID 0749262459, 8 clinicians

Practice addresses (Care Compare)

800 Oak Ridge Tpke
Suite C100
Oak Ridge, TN 37830-6927
Phone (865) 483-2288

800 Oak Ridge Turnpike
Suite C 100
Oak Ridge, TN 37830-6927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0837KYMDAudiologist
A0000001297TNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee Ear, Nose & Throat Specialists, PC Audiologist CurrentSince Apr 1, 2008 Accepting new patients
Beacon Sleep Services PLLC Past Accepting new patients

Locations

1855 Tanner Way
Ste 130
Harriman, TN 37748
Phone (865) 882-1600

109 Independence Ln
Ste 500
La Follette, TN 37766
Phone (423) 562-9744

800 Oak Ridge Tpke
Ste C100
Oak Ridge, TN 37830
Phone (865) 483-2288

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHDGCD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1588836795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 OAK RIDGE TPKE",
            "address_2": "SUITE C-101",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306957",
            "telephone_number": "865-482-1086",
            "fax_number": "865-482-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OAK RIDGE TPKE",
            "address_2": "SUITE C-101",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306957",
            "telephone_number": "865-482-1086",
            "fax_number": "865-482-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "HALEY",
        "credential": "MA, CCC/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "A0000001297",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "0837",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3192031",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.