Tami Johnson, MSCCCA

Individual provider Active NPI Assistive Technology Practitioner Audiologist · Selmer, TN

NPI 1912295205 · NPPES record last updated Jul 20, 2011

Key facts

NPI
1912295205
Entity type
Individual (NPI type 1)
Primary specialty
Assistive Technology Practitioner Audiologist 231HA2400X
License
1532 (TN)
Practice address
170 W Court Ave
Selmer, TN 38375-2134
Phone
(423) 622-1551
Fax
(423) 622-1556
NPI assigned
Jul 20, 2011
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
McNairy County Schools Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Practitioner Audiologist 231HA2400X 1532 TN Yes

Addresses

Primary practice location

170 W Court Ave
Selmer, TN 38375-2134

Mailing address

PO Box 8114
Chattanooga, TN 37414-0114
Phone (423) 622-1551

Other providers in Selmer, TN

All providers in Selmer, TN · Assistive Technology Practitioner Audiologist in Tennessee

Sources for this page

Verify at the official NPI Registry.