Organization Active NPI

Mobile Audiology Associates, P.C.

  • Audiologist
  • Framingham, MA
National Provider Identifier
1689601130
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
MOBILE AUDIOLOGY ASSOCIATES, P.C.
Practice address
100 Crossing Blvd
Suite 300
Framingham, MA 01702-5555
Phone
(617) 964-6681
Fax
(339) 686-2561
NPI assigned
Jun 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Authorized official

Name
Dr. Laura L. Tasse, AUDNPI 1063456481
Title
Owner/President
Phone
(617) 964-6681

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 Primary

Addresses

Primary practice location

100 Crossing Blvd
Suite 300
Framingham, MA 01702-5555

Mailing address

100 Crossing Blvd
Suite 300
Framingham, MA 01702-5555
Phone (617) 964-6681

Other identifiers 3

IdentifierTypeStateIssuer
CA6969OtherMAMEDICARE RAILROAD
9781307MedicaidMA
M16681OtherMABLUE CROSS BLUE SHIELD

Other names 1

  • HealthDrive Audiology Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI, NH, NC, MI5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20040330001403 MA Part B Supplier - Clinic/Group Practice 3678465283 Receives reassigned benefits from 5 practitioners
Practice locations: Framingham, MA
O20040918000089 RI Part B Supplier - Clinic/Group Practice 3678465283 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Middletown, RI
O20060213000631 NH Part B Supplier - Clinic/Group Practice 3678465283 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bedford, NH
O20210317001220 NC Part B Supplier - Clinic/Group Practice 3678465283 Receives reassigned benefits from 5 practitioners
Practice locations: Charlotte, NC
O20210607002420 MI Part B Supplier - Clinic/Group Practice 3678465283 Receives reassigned benefits from 6 practitioners
Practice locations: Lansing, MI

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

100 Crossing Blvd
Framingham, MA 01702

6700 Alexander Bell Dr
Ste 20021
Columbia, MD 21046

607C Louis Dr
Warminster, PA 18974
Phone (215) 675-3005

607A Louis Dr
Ste 103
Warminster, PA 18974
Phone (215) 675-3005

222 Chapman Rd
Chippewa Falls, WI 54729
Phone (715) 723-3240

110 Belmont Rd
Madison, WI 53714
Phone (308) 249-7391

3720 N 124th St
Milwaukee, WI 53222

N4231 State Highway 22
Shawano, WI 54166
Phone (715) 526-3158

524 Grant St
Winneconne, WI 54986

Ownership & related parties

All facility ownership & control disclosures 18

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Carmel Health & Living CommunityCarmel, IN, CCN 155181 Skilled nursing facility Adp of the SNF Mar 7, 2019
Countryside Manor Health & Living CommunityAnderson, IN, CCN 155258 Skilled nursing facility Adp of the SNF Mar 7, 2019
Rawlins House Health & Living CommunityPendleton, IN, CCN 155357 Skilled nursing facility Adp of the SNF Mar 7, 2019
Harbour Manor Health & Living CommunityNoblesville, IN, CCN 155381 Skilled nursing facility Adp of the SNF Mar 7, 2019
Brown County Health & Living CommunityNashville, IN, CCN 155487 Skilled nursing facility Adp of the SNF Mar 7, 2019
Paoli Health & Living CommunityPaoli, IN, CCN 155333 Skilled nursing facility Adp of the SNF Mar 7, 2019
Arbor Trace Health & Living CommunityRichmond, IN, CCN 155481 Skilled nursing facility Adp of the SNF Mar 7, 2019
Altenheim Health & Living CommunityIndianapolis, IN, CCN 155196 Skilled nursing facility Adp of the SNF Mar 7, 2019
Morristown ManorMorristown, IN, CCN 155691 Skilled nursing facility Adp of the SNF Mar 7, 2019
Brookside Village, IncJasper, IN, CCN 155703 Skilled nursing facility Adp of the SNF Mar 7, 2019
Hamilton Trace of FishersFishers, IN, CCN 155793 Skilled nursing facility Adp of the SNF Mar 7, 2019
Aspen Trace Health & Living CommunityGreenwood, IN, CCN 155821 Skilled nursing facility Adp of the SNF Mar 7, 2019
Cumberland Trace Health & Living CommunityPlainfield, IN, CCN 155836 Skilled nursing facility Adp of the SNF Mar 7, 2019
University Heights Health and Living CommunityIndianapolis, IN, CCN 155327 Skilled nursing facility Adp of the SNF Mar 7, 2019
Copper Trace Health & Living CommunityWestfield, IN, CCN 155841 Skilled nursing facility Adp of the SNF Mar 7, 2019
Greenwood Health and Living CommunityGreenwood, IN, CCN 155412 Skilled nursing facility Adp of the SNF Mar 7, 2019
Bell Trace Health and Living CenterBloomington, IN, CCN 155677 Skilled nursing facility Adp of the SNF Mar 7, 2019
Lincoln Hills of New AlbanyNew Albany, IN, CCN 155614 Skilled nursing facility Adp of the SNF Mar 7, 2019

Owned or controlled facilities with NPI records 19

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 19

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1689601130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CROSSING BLVD",
            "address_2": "SUITE 300",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025555",
            "telephone_number": "617-964-6681",
            "fax_number": "339-686-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CROSSING BLVD",
            "address_2": "SUITE 300",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025555",
            "telephone_number": "617-964-6681",
            "fax_number": "339-686-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE AUDIOLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "TASSE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "617-964-6681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CA6969",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9781307",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M16681",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthDrive Audiology Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthDrive Audiology Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.