Organization Active NPI

Tiffany Brewer Audiology, LLC

  • Audiologist
  • Georgetown, KY
National Provider Identifier
1659884211
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
100044 Issued in KY
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

Updated by the provider on Dec 11, 2017

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

Authorized official

Name
Dr. Tiffany Danielle Brewer, AUDNPI 1023420734
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)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20171207001266 KY Part B Supplier - Clinic/Group Practice 2567729163 Receives reassigned benefits from 1 practitioner
Practice locations: Georgetown, KY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.