NPIMap

Organization Active NPI

Professional Audiological Services, Inc.

  • Assistive Technology Supplier Audiologist
  • Memphis, TN
National Provider Identifier
1710239967
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Supplier AudiologistTaxonomy code 231HA2500X
License
A103 Issued in TN
Legal business name
PROFESSIONAL AUDIOLOGICAL SERVICES, INC.
Practice address
5118 Stage Rd
Memphis, TN 38134-3166
Phone
(901) 372-0040
Fax
(901) 372-8685
NPI assigned
Oct 12, 2012
Last updated
Oct 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Authorized official

Name
Loretta Coltharp Morton, AU.D.NPI 1659384857
Title
President
Phone
(901) 372-0040

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
Durable Medical Equipment & Medical Supplies 332B00000X A103 TN
Assistive Technology Supplier Audiologist 231HA2500X A103 TN Primary

Addresses

Primary practice location

5118 Stage Rd
Memphis, TN 38134-3166

Mailing address

5108 Stage Rd
Memphis, TN 38134-3164
Phone (901) 372-0040

Other identifiers 1

IdentifierTypeStateIssuer
1529238MedicaidTN

National Provider Directory

National Provider Directory
Tax ID family
Professional Audiological Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1710239967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 STAGE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381343164",
            "telephone_number": "901-372-0040",
            "fax_number": "901-372-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5118 STAGE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381343166",
            "telephone_number": "901-372-0040",
            "fax_number": "901-372-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL AUDIOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "COLTHARP MORTON",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-372-0040",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "A103",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "TN",
            "license": "A103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529238",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.