Active NPI
Alexandra Tarvin, AU.D.
- Audiologist
- Easley, SC
National Provider Identifier
1609283654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD.4004
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4004 | SC | MD | Professional Counselor |
| 30002495 | NC | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avt Audiology | Audiologist | Current | 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.