Active NPI
Memphis Audiology LLC
- Audiologist
- Collierville, TN
National Provider Identifier
1619415338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- MEMPHIS AUDIOLOGY LLC
- Practice address
- 793 W Poplar Ave
Collierville, TN 38017-2543 - Phone
- (901) 310-5983
- Fax
- (901) 221-7794
- NPI assigned
- Feb 1, 2017
- Last updated
- Sep 26, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Nicole Bell, AUD
- Title
- Practice Owner
- Phone
- (901) 221-7792
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
793 W Poplar Ave
Collierville, TN 38017-2543
Mailing address
793 W Poplar Ave
Collierville, TN 38017-2543
Phone (901) 310-5983
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
793 W Poplar Ave
Collierville, TN 38017
Phone (901) 221-7794
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Audiologist-Hearing Aid Fitter
- Collierville, TN
- NPI 1962898619
-
- Audiologist
- Collierville, TN
- NPI 1255901849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695686400000",
"number": "1619415338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "793 W POPLAR AVE",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380172543",
"telephone_number": "901-310-5983",
"fax_number": "901-221-7794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "793 W POPLAR AVE",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380172543",
"telephone_number": "901-310-5983",
"fax_number": "901-221-7794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMPHIS AUDIOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-01",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A",
"authorized_official_last_name": "BELL",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "PRACTICE OWNER",
"authorized_official_telephone_number": "901-221-7792",
"authorized_official_credential": "AUD"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Collierville, TN
- Rebecca R McIntyre, M.D.
- Doreen McRee-Walker, RBT
- Med Plus Inc
- Med-Tek Systems
- Brenta Medley, O.D.
- Memphis Urgent Care #2 LLC (Urgent Care of Saint Francis - Collierville)
- Memphis Urgent Care #2 LLC (MedPost Urgent Care - Collierville)
- Mental Wellness
- Ryan Austin Michaelis, LAT, CAT
- Mid-South TMJ and Sleep Apnea
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.