Organization Active NPI

Elite Audiology and Hearing Care, PLLC

  • Hearing and Speech Clinic/Center
  • Mount Juliet, TN
National Provider Identifier
1750606372
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
1444 Issued in TN
Legal business name
ELITE AUDIOLOGY AND HEARING CARE, PLLC
Practice address
541 N Mount Juliet Rd
Suite 2204
Mount Juliet, TN 37122-3873
Phone
(615) 758-7118
Fax
(615) 758-7113
NPI assigned
Apr 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Authorized official

Name
Jennifer Romine McGlothlin, AU.D.NPI 1740403997
Title
Doctor of Audiology
Phone
(615) 758-7118

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
Hearing and Speech Clinic/Center 261QH0700X 1444 TN Primary
Hearing Aid Equipment 332S00000X 1444 TN

Addresses

Primary practice location

541 N Mount Juliet Rd
Suite 2204
Mount Juliet, TN 37122-3873

Mailing address

541 N Mount Juliet Rd
Suite 2204
Mount Juliet, TN 37122-3873
Phone (615) 758-7118

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101026000008 TN Part B Supplier - Clinic/Group Practice 0244423044 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Juliet, TN

National Provider Directory

National Provider Directory

Locations

541 N Mount Juliet Rd
Ste 2204
Mt Juliet, TN 37122
Phone (615) 756-7118

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1750606372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 N MOUNT JULIET RD",
            "address_2": "SUITE 2204",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223873",
            "telephone_number": "615-758-7118",
            "fax_number": "615-758-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 N MOUNT JULIET RD",
            "address_2": "SUITE 2204",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223873",
            "telephone_number": "615-758-7118",
            "fax_number": "615-758-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE AUDIOLOGY AND HEARING CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "MCGLOTHLIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ROMINE",
        "authorized_official_title_or_position": "DOCTOR OF AUDIOLOGY",
        "authorized_official_telephone_number": "615-758-7118",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "TN",
            "license": "1444",
            "primary": true
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "TN",
            "license": "1444",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.