Active NPI
Professional Audiological Services, Inc.
- Audiologist-Hearing Aid Fitter
- Memphis, TN
National Provider Identifier
1881964849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- A103
- Legal business name
- PROFESSIONAL AUDIOLOGICAL SERVICES, INC.
- Practice address
- 5118 Stage Rd
Memphis, TN 38134-3166 - Phone
- (901) 372-0040
- Fax
- (901) 372-8685
- NPI assigned
- Jan 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Loretta Coltharp Morton, AU.D.
- Title
- President/Audiologist
- Phone
- (901) 372-0040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | A103 | TN | Primary |
Addresses
Primary practice location
5118 Stage Rd
Memphis, TN 38134-3166
Mailing address
5108 Stage Rd
Memphis, TN 38134-3164
Phone (901) 372-0040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3192119 | Other | TN | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Professional Audiological Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assistive Technology Supplier Audiologist
- Memphis, TN
- NPI 1710239967
Locations
5118 Stage Rd
Memphis, TN 38134
Phone (901) 372-0040
5108 Stage Rd
Memphis, TN 38134
Phone (901) 372-0040
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Memphis, TN
- NPI 1659384857
-
- Audiologist
- Memphis, TN
- NPI 1619633484
-
- Audiologist-Hearing Aid Fitter
- Metairie, LA
- NPI 1053866210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326067200000",
"number": "1881964849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5108 STAGE RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381343164",
"telephone_number": "901-372-0040",
"fax_number": "901-372-8685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5118 STAGE RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381343166",
"telephone_number": "901-372-0040",
"fax_number": "901-372-8685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL AUDIOLOGICAL SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-09",
"last_updated": "2012-01-09",
"status": "A",
"authorized_official_last_name": "MORTON",
"authorized_official_first_name": "LORETTA",
"authorized_official_middle_name": "COLTHARP",
"authorized_official_title_or_position": "PRESIDENT/AUDIOLOGIST",
"authorized_official_telephone_number": "901-372-0040",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TN",
"license": "A103",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "3192119",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
- James Franklin Proctor, D.D.S.
- Kimberly E Proctor, RN/NP
- Mary L Proctor, DOT
- Annette B Proenza, PHARM D
- Professional Audiological Services, Inc.
- Professional Eyecare Optical (Eyewear Gallery)
- Professional Eyecare Optical, PLLC (Eyewear Gallery)
- Grace Amelia Proffitt, DO
- Progressive Wound Care PLLC
- Prohealth Chiropractic LLC (Dr. Alan James)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.