Mary Tjader, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

147001348 Issued in IL

Practice address

3325 Aspen Grove Dr Ste 105
Franklin, TN 37067-2905

Phone

(615) 656-1109

NPI assigned

Jul 21, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Bruce Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1801109616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9365 ANSLEY LN",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 ASPEN GROVE DR STE 105",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672905",
            "telephone_number": "615-656-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TJADER",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BRUCE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lindsay Rae Tincher, PHARMD
• Robert Lane Tippens, M.D.
• Jon Thomas Tisdale, MSM, PA-C
• William D Tissot, MD
• Daphne Caroline Titus, APRN
• TLC Medical Oxygen & Hospital Equipment, Inc.
• TMS Medical Group of Franklin, LLC
• TMS of Tennessee LLC
• TN Dentsl Specialist (TN Dental Specialists)
• TN Doctors of Optometry, PLLC

• Audiologist in Franklin, TN
• Providers in Franklin, TN by specialty
• Audiologist in Tennessee

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