Tammy Lynne Carroll, AU. D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AU2020 Issued in CA

Practice address

301 W G Street #137
San Diego, CA 92101

Phone

(619) 994-1870

NPI assigned

Oct 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Tammy Prida Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tammy Prida, Au.D., a Professional Audiology Corporation

  • Audiologist
  • San Diego, CA
  • NPI 1144599218
  NPD (past) Authorized official

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1720169444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W G STREET #137",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92101",
            "telephone_number": "619-994-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W G STREET #137",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92101",
            "telephone_number": "619-994-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "TAMMY",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "AU. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "6519436-4101",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "PRIDA",
            "prefix": "MRS.",
            "credential": "AU. D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa D Carroll, LCSW
• Matthew Carroll, M.D.
• Michael C Carroll
• Noah Scott Carroll, DO
• Renee M Carroll, LCSW, RN
• Mikaela Carruthers
• Carry-U Nemt Inc
• Alexandra Carry, PSYD
• Anna Carskaddon Marino
• Aaliyah Carson

• Audiologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Audiologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.