Active NPI
Conner Noelle Davis, AU.D.
- Audiologist-Hearing Aid Fitter
- Knoxville, TN
National Provider Identifier
1972128072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 2067
- Practice address
- 9430 Park West Blvd Ste 330
Knoxville, TN 37923-4203 - Phone
- (865) 693-6065
- Fax
- (865) 531-6325
- NPI assigned
- Jun 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 4148 | SC | |
| Audiologist-Hearing Aid Fitter | 237600000X | 2067 | TN | Primary |
Addresses
Primary practice location
9430 Park West Blvd Ste 330
Knoxville, TN 37923-4203
Mailing address
9430 Park West Blvd Ste 330
Knoxville, TN 37923-4203
Phone (865) 693-6065
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2067 | TN | MD | Audiologist-Hearing Aid Fitter |
| 4148 | SC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1972128072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9430 PARK WEST BLVD STE 330",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234203",
"telephone_number": "865-693-6065",
"fax_number": "865-531-6325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9430 PARK WEST BLVD STE 330",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234203",
"telephone_number": "865-693-6065",
"fax_number": "865-531-6325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CONNER",
"middle_name": "NOELLE",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-15",
"last_updated": "2021-11-17",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "SC",
"license": "4148",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TN",
"license": "2067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.