Organization Active NPI

Appalachian Hearing and Speech Center, LLC

  • Audiologist
  • Johnson City, TN
National Provider Identifier
1659761062
Registry record updated Jan 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1468 Issued in TN
Legal business name
APPALACHIAN HEARING AND SPEECH CENTER, LLC
Practice address
306 Sunset Dr
Suite 103
Johnson City, TN 37604-2492
Phone
(423) 328-9190
Fax
(423) 328-9189
NPI assigned
Jan 24, 2015
Last updated
Jan 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2015

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

Authorized official

Name
Christopher A. Burks, AU. D.NPI 1861589517
Title
Audiologist
Phone
(423) 914-2846

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 247 TN
Audiologist 231H00000X 1468 TN Primary

Addresses

Primary practice location

306 Sunset Dr
Suite 103
Johnson City, TN 37604-2492

Mailing address

306 Sunset Dr
Suite 103
Johnson City, TN 37604-2492
Phone (423) 328-9190

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150803000699 TN Part B Supplier - Clinic/Group Practice 4183938228 Receives reassigned benefits from 4 practitioners
Practice locations: Johnson City, TN

National Provider Directory

National Provider Directory

Locations

306 Sunset Dr
Ste 103
Johnson City, TN 37604
Phone (423) 328-9190

Practitioners & affiliated clinicians

Practitioners 4

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": "1422057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422057600000",
    "number": "1659761062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 SUNSET DR",
            "address_2": "SUITE 103",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042492",
            "telephone_number": "423-328-9190",
            "fax_number": "423-328-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 SUNSET DR",
            "address_2": "SUITE 103",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042492",
            "telephone_number": "423-328-9190",
            "fax_number": "423-328-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN HEARING AND SPEECH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-24",
        "last_updated": "2015-01-24",
        "status": "A",
        "authorized_official_last_name": "BURKS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "423-914-2846",
        "authorized_official_credential": "AU. D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "247",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "1468",
            "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 Jan 24, 2015; 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.