Individual provider Active NPI

Tomma Henckel, AU.D., CCC-A

  • Audiologist
  • Amherst, MA
National Provider Identifier
1699845784
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
491 Issued in MA
Practice address
358 N Pleasant St
Amherst, MA 01003-9296
Phone
(413) 545-4015
Fax
(413) 545-0803
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 491 MA Primary

Addresses

Primary practice location

358 N Pleasant St
Amherst, MA 01003-9296

Mailing address

38 Hedgerow LN
Amherst, MA 01002-1695

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170519000337 MA Practitioner - Qualified Audiologist 0648547802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
University of MassachusettsGroup PAC ID 6507843760, 6 clinicians

Practice addresses (Care Compare)

358 N Pleasant St
Amherst, MA 01003-9296
Phone (413) 545-2565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Massachusetts Audiologist CurrentSince Apr 2, 2017 Accepting new patients
University of Massachusetts Audiologist PastSince Apr 2, 2017 Accepting new patients
University of Massachusetts Past Accepting new patients

Locations

150 Infirmary Way
Amherst, MA 01003
Phone (413) 577-5000

358 N Pleasant St
Amherst, MA 01003
Phone (413) 545-2565

288 Lyman St
Westborough, MA 01581
Phone (413) 545-2565

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1699845784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 HEDGEROW LN",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010021695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 N PLEASANT ST",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010039296",
            "telephone_number": "413-545-4015",
            "fax_number": "413-545-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENCKEL",
        "first_name": "TOMMA",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.