Individual provider Active NPI

Tracy Stueber

  • Audiologist
  • Nashville, TN
National Provider Identifier
1629249669
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
99 White Bridge Rd Ste 106
Nashville, TN 37205-1449
Phone
(615) 354-8011
NPI assigned
Mar 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

99 White Bridge Rd Ste 106
Nashville, TN 37205-1449

Mailing address

1272 Garrison Dr
Murfreesboro, TN 37129-2598
Phone (615) 893-4480

Other practice location 1

1410 Tusculum Blvd
Suite 2500
Greeneville, TN 37745-4286
Phone (423) 638-1291

Other practice location 2

1272 Garrison Dr
Murfreesboro, TN 37129-2598
Phone (615) 893-4480

Other identifiers 1

IdentifierTypeStateIssuer
A01499OtherTNMEDICAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090714000369 TN Practitioner - Qualified Audiologist 1951467968 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1499TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Murfreesboro Medical Clinic, P.a. Current Accepting new patients
Shawn Lancaster CurrentSince Feb 23, 2025 Accepting new patients
Greeneville Ear, Nose & Throat Specialists, Mpllc PastSince Aug 1, 2023 Accepting new patients

Locations

608 E Clark Blvd
Murfreesboro, TN 37130
Phone (615) 893-4618

1272 Garrison Dr
Murfreesboro, TN 37129
Phone (615) 867-7925

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1629249669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 GARRISON DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292598",
            "telephone_number": "615-893-4480",
            "fax_number": "615-867-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 WHITE BRIDGE RD STE 106",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051449",
            "telephone_number": "615-354-8011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1410 Tusculum Blvd",
            "address_2": "Suite 2500",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377454286",
            "country_code": "US",
            "telephone_number": "423-638-1291",
            "fax_number": "423-638-9398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1272 Garrison Dr",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371292598",
            "country_code": "US",
            "telephone_number": "615-893-4480",
            "fax_number": "615-867-7946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUEBER",
        "first_name": "TRACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A01499",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.