NPIMap

Organization Active NPI

Tyler Rdspd

  • Audiologist-Hearing Aid Fitter
  • Tyler, TX
National Provider Identifier
1932432333
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
50557 Issued in TX
Legal business name
TYLER RDSPD
Practice address
807 W Glenwood Blvd
Tyler, TX 75701-3929
Phone
(903) 262-1032
Fax
(903) 262-1165
NPI assigned
Sep 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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

Authorized official

Name
Ms. Kathy Robertson
Title
Coordinator Rdspd
Phone
(903) 262-1032

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X 50557 TX
Assistive Technology Practitioner AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231HA2400X 50557 TX
Assistive Technology Supplier AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231HA2500X 50557 TX
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X 50557 TX Primary
Hearing Instrument SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 237700000X 50557 TX

Addresses

Primary practice location

807 W Glenwood Blvd
Tyler, TX 75701-3929

Mailing address

807 W Glenwood Blvd
Tyler, TX 75701-3929
Phone (903) 262-1032

National Provider Directory

National Provider Directory
Tax ID family
Tyler Independent School District2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

807 W Glenwood Blvd
Tyler, TX 75701
Phone (903) 262-1032

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": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1932432333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 W GLENWOOD BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013929",
            "telephone_number": "903-262-1032",
            "fax_number": "903-262-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 W GLENWOOD BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013929",
            "telephone_number": "903-262-1032",
            "fax_number": "903-262-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER RDSPD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "COORDINATOR RDSPD",
        "authorized_official_telephone_number": "903-262-1032",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "TX",
            "license": "50557",
            "primary": false
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "TX",
            "license": "50557",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "TX",
            "license": "50557",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "50557",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "50557",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.