Organization Active NPI

Ahlberg Audiology and Hearing Aid Services LLC

  • Audiologist
  • Cleveland, TN
National Provider Identifier
1942683776
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1246 Issued in TN
Legal business name
AHLBERG AUDIOLOGY AND HEARING AID SERVICES LLC
Practice address
4220 Ocoee St N
Cleveland, TN 37312-4829
Phone
(423) 641-0956
Fax
(423) 641-0956
NPI assigned
Jun 29, 2015
Last updated
Aug 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Authorized official

Name
Tiffany Ahlberg, AUDNPI 1285870915
Title
Owner
Phone
(423) 641-0959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1246 TN Primary

Addresses

Primary practice location

4220 Ocoee St N
Cleveland, TN 37312-4829

Mailing address

4220 Ocoee St N
Cleveland, TN 37312-4829
Phone (423) 641-0956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190725003205 TN Part B Supplier - Clinic/Group Practice 9133455363 Receives reassigned benefits from 4 practitioners
Practice locations: Cleveland, TN

National Provider Directory

National Provider Directory

Locations

2401 N Ocoee St
Ste 201
Cleveland, TN 37311
Phone (423) 641-0956

4220 Ocoee St N
Ste 102
Cleveland, TN 37312
Phone (423) 641-0956

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1942683776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 OCOEE ST N",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124829",
            "telephone_number": "423-641-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 OCOEE ST N",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124829",
            "telephone_number": "423-641-0956",
            "fax_number": "423-641-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHLBERG AUDIOLOGY AND HEARING AID SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "AHLBERG",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-641-0959",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "1246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.

Verify at the official NPI Registry.