Individual provider Active NPI

Tina Gardella, HIS

  • Hearing Instrument Specialist
  • Newburyport, MA
National Provider Identifier
1881180149
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
0316 Issued in MA
Practice address
21 Storey Ave Ste 1
Newburyport, MA 01950-1848
Phone
(978) 462-6250
NPI assigned
Jul 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 0316 MA Primary

Addresses

Primary practice location

21 Storey Ave Ste 1
Newburyport, MA 01950-1848

Mailing address

21 Storey Ave Ste 1
Newburyport, MA 01950-1848
Phone (978) 462-6250

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0316MAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
New England Hearing Care LLC PastSince Mar 28, 2018 Accepting new patients
Andover Hearing Center PastSince Aug 1, 2008 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1881180149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 STOREY AVE STE 1",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019501848",
            "telephone_number": "978-462-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 STOREY AVE STE 1",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019501848",
            "telephone_number": "978-462-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDELLA",
        "first_name": "TINA",
        "name_prefix": "Mrs.",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MA",
            "license": "0316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.