Organization Active NPI

Memphis Audiology LLC

  • Audiologist
  • Collierville, TN
National Provider Identifier
1619415338
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Jessica Nicole Bell, AUDNPI 1962898619
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20171109002620 TN Part B Supplier - Clinic/Group Practice 7214293158 Receives reassigned benefits from 2 practitioners
Practice locations: Collierville, TN

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.