Individual provider Active NPI

Laura Coleman Mutchler, AU.D.

  • Audiologist
  • Memphis, TN
National Provider Identifier
1730330333
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A1300 Issued in TN
Practice address
6025 Walnut Grove Rd
Suite 210
Memphis, TN 38120-2131
Phone
(901) 226-5465
Fax
(901) 226-5720
NPI assigned
Oct 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A1300 TN Primary

Addresses

Primary practice location

6025 Walnut Grove Rd
Suite 210
Memphis, TN 38120-2131

Mailing address

3575 Stonehenge CV S
Bartlett, TN 38135-3087
Phone (615) 554-0825

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140521001674 TN Practitioner - Qualified Audiologist 5193948057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Memorial HospitalGroup PAC ID 6305739475, 9 clinicians

Practice addresses (Care Compare)

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.92
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1300TNMDBehavioral Analyst
A1300TNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Hospital CurrentSince Mar 1, 2014 Accepting new patients
Baptist Memorial Hospital CurrentSince Mar 1, 2014 Accepting new patients

Locations

1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

6025 Walnut Grove Rd
Ste 210
Memphis, TN 38120
Phone (901) 226-5523

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1730330333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 STONEHENGE CV S",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381353087",
            "telephone_number": "615-554-0825",
            "fax_number": "901-226-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 WALNUT GROVE RD",
            "address_2": "SUITE 210",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202131",
            "telephone_number": "901-226-5465",
            "fax_number": "901-226-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTCHLER",
        "first_name": "LAURA",
        "middle_name": "COLEMAN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "A1300",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 24, 2010; 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.