Organization Active NPI

Johnson Hearing Technology and Communication, PLLC

  • Audiologist
  • Johnson City, TN
National Provider Identifier
1639503287
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1388 Issued in TN
Legal business name
JOHNSON HEARING TECHNOLOGY AND COMMUNICATION, PLLC
Practice address
2831 E Oakland Ave Ste 2
Johnson City, TN 37601-1300
Phone
(423) 946-5780
NPI assigned
Aug 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

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

Authorized official

Name
Earl E JohnsonNPI 1558532234
Title
Audiologist
Phone
(423) 946-5780

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
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 1388 TN Primary

Addresses

Primary practice location

2831 E Oakland Ave Ste 2
Johnson City, TN 37601-1300

Mailing address

103 Shadowood Dr
Johnson City, TN 37604-1126
Phone (423) 946-5780

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131003000055 TN Part B Supplier - Clinic/Group Practice 9931333028 Receives reassigned benefits from 1 practitioner
Practice locations: Johnson City, TN

National Provider Directory

National Provider Directory

Locations

2831 E Oakland Ave
Ste 2
Johnson City, TN 37601
Phone (423) 946-5780

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1639503287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SHADOWOOD DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041126",
            "telephone_number": "423-946-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 E OAKLAND AVE STE 2",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011300",
            "telephone_number": "423-946-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON HEARING TECHNOLOGY AND COMMUNICATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "423-946-5780"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "TN",
            "license": "1388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; 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.