Individual provider Active NPI

Alexandra Tarvin, AU.D.

  • Audiologist
  • Easley, SC
National Provider Identifier
1609283654
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD.4004 Issued in SC
Practice address
424 Rock Springs Rd
Easley, SC 29642-1433
Phone
(864) 442-5555
Fax
(844) 810-8866
NPI assigned
Jul 22, 2014
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 30002495 NC
Audiologist 231H00000X AUD.4004 SC Primary

Addresses

Primary practice location

424 Rock Springs Rd
Easley, SC 29642-1433

Mailing address

424 Rock Springs Rd
Easley, SC 29642-1433
Phone (864) 442-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140909001103 SC Practitioner - Qualified Audiologist 1153540034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avt AudiologyGroup PAC ID 7416375217, 4 clinicians

Practice addresses (Care Compare)

424 Rock Springs Rd
Easley, SC 29642-1433
Phone (864) 442-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4004SCMDProfessional Counselor
30002495NCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Avt Audiology Audiologist CurrentSince Sep 1, 2020 Accepting new patients

Locations

424 Rock Springs Rd
Easley, SC 29642
Phone (864) 442-5555

838 Powdersville Rd
Ste L
Easley, SC 29642
Phone (608) 577-9199

Organizations & group practices 1

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": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1609283654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 ROCK SPRINGS RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296421433",
            "telephone_number": "864-442-5555",
            "fax_number": "844-810-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 ROCK SPRINGS RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296421433",
            "telephone_number": "864-442-5555",
            "fax_number": "844-810-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARVIN",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "30002495",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SC",
            "license": "AUD.4004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.