Individual provider Active NPI

Tracy L Tunis, MS-FAAA

  • Audiologist
  • Maumee, OH
National Provider Identifier
1730437286
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A02043 Issued in OH
Practice address
6005 Monclova Rd Ste 320
Maumee, OH 43537-1862
Phone
(419) 578-7555
Fax
(419) 539-6336
NPI assigned
Aug 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A02043 OH Primary

Addresses

Primary practice location

6005 Monclova Rd Ste 320
Maumee, OH 43537-1862

Mailing address

6005 Monclova Rd Ste 320
Maumee, OH 43537-1862
Phone (419) 578-7555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A02043OHMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730437286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 MONCLOVA RD STE 320",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371862",
            "telephone_number": "419-578-7555",
            "fax_number": "419-539-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 MONCLOVA RD STE 320",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371862",
            "telephone_number": "419-578-7555",
            "fax_number": "419-539-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNIS",
        "first_name": "TRACY",
        "middle_name": "L",
        "credential": "MS-FAAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A02043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.