Individual provider Active NPI

Cynthia L Ellison, AU.D.

  • Audiologist
  • Franklin, TN
National Provider Identifier
1598736845
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1066 Issued in TN
Practice address
4091 Mallory LN
Suite 122
Franklin, TN 37067-4849
Phone
(615) 807-1274
Fax
(615) 807-1278
NPI assigned
Jan 26, 2006
Last updated
Oct 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1066 TN Primary

Addresses

Primary practice location

4091 Mallory LN
Suite 122
Franklin, TN 37067-4849

Mailing address

4091 Mallory LN
Suite 122
Franklin, TN 37067-4849
Phone (615) 807-1274

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1066TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Vista Hearing Center PLLC Audiologist PastSince Jul 23, 2018 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1598736845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4091 MALLORY LN",
            "address_2": "SUITE 122",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370674849",
            "telephone_number": "615-807-1274",
            "fax_number": "615-807-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4091 MALLORY LN",
            "address_2": "SUITE 122",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370674849",
            "telephone_number": "615-807-1274",
            "fax_number": "615-807-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "1066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.