Active NPI
Wayland Reed Norwood, AUD
- Audiologist
- Cookeville, TN
National Provider Identifier
1972505535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 88
- Practice address
- 728 S Jefferson Ave
Suite 8
Cookeville, TN 38501-4278 - Phone
- (931) 854-9499
- Fax
- (931) 854-9460
- NPI assigned
- Aug 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 88 | TN | Primary |
Addresses
Primary practice location
728 S Jefferson Ave
Suite 8
Cookeville, TN 38501-4278
Mailing address
728 S Jefferson Ave
Suite 8
Cookeville, TN 38501-4278
Phone (931) 854-9499
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4325303 | Other | BCBS TENNESSEE | |
| 3192384 | Medicaid | TN |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343088000000",
"number": "1972505535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "728 S JEFFERSON AVE",
"address_2": "SUITE 8",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385014278",
"telephone_number": "931-854-9499",
"fax_number": "931-854-9460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "728 S JEFFERSON AVE",
"address_2": "SUITE 8",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385014278",
"telephone_number": "931-854-9499",
"fax_number": "931-854-9460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORWOOD",
"first_name": "WAYLAND",
"middle_name": "REED",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2012-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TN",
"license": "88",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TENNESSEE",
"identifier": "4325303",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3192384",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.