Active NPI
Tiffany Brewer Audiology, LLC
- Audiologist
- Georgetown, KY
National Provider Identifier
1659884211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 100044
- Legal business name
- TIFFANY BREWER AUDIOLOGY, LLC
- Practice address
- 204 Bevins LN Ste B
Georgetown, KY 40324-6145 - Phone
- (513) 708-7938
- NPI assigned
- Nov 6, 2017
- 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
- Dr. Tiffany Danielle Brewer, AUD
- Title
- Audiologist/Owner
- Phone
- (502) 642-4322
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 | 100044 | KY | Primary |
Addresses
Primary practice location
204 Bevins LN Ste B
Georgetown, KY 40324-6145
Mailing address
204 Bevins LN Ste B
Georgetown, KY 40324-6145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
204 Bevins Ln
Ste B
Georgetown, KY 40324
Phone (502) 642-4322
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Georgetown, KY
- NPI 1023420734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1512950400000",
"number": "1659884211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 BEVINS LN STE B",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403246145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 BEVINS LN STE B",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403246145",
"telephone_number": "513-708-7938"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIFFANY BREWER AUDIOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-06",
"last_updated": "2017-12-11",
"status": "A",
"authorized_official_last_name": "BREWER",
"authorized_official_first_name": "TIFFANY",
"authorized_official_middle_name": "DANIELLE",
"authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
"authorized_official_telephone_number": "502-642-4322",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AUD"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "KY",
"license": "100044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.