Individual provider Active NPI

Karen Sue Brandt, MA, CCC-A

  • Audiologist-Hearing Aid Fitter
  • Cookeville, TN
National Provider Identifier
1972899722
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
1563 Issued in TN
Practice address
100 W 4TH St
Suite 210
Cookeville, TN 38501-2448
Phone
(931) 526-8863
Fax
(931) 525-3559
NPI assigned
Jun 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 1563 TN Primary

Addresses

Primary practice location

100 W 4TH St
Suite 210
Cookeville, TN 38501-2448

Mailing address

100 W 4TH St
Suite 210
Cookeville, TN 38501-2448
Phone (931) 526-8863

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110707000178 TN Practitioner - Qualified Audiologist 0547448995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Hearing of TennesseeGroup PAC ID 3072818517, 7 clinicians

Practice addresses (Care Compare)

10055 Rhea County Hwy
Dayton, TN 37321-7937
Phone (248) 528-2116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1563TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Hearing of Tennessee CurrentSince Feb 8, 2021 Accepting new patients
Upper Cumberland Otolaryngology Clinic, PC CurrentSince Feb 1, 2013 Accepting new patients
The Cookeville Surgery Center PastSince Feb 1, 2013 Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

100 W 4th St
Ste 200
Cookeville, TN 38501
Phone (931) 528-1575

100 W 4th St
Ste 210
Cookeville, TN 38501
Phone (931) 526-8863

10055 Rhea County Hwy
Dayton, TN 37321
Phone (423) 847-6777

312 N Chancery St
McMinnville, TN 37110
Phone (931) 473-3833

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJCECD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1972899722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W 4TH ST",
            "address_2": "SUITE 210",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012448",
            "telephone_number": "931-526-8863",
            "fax_number": "931-525-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 4TH ST",
            "address_2": "SUITE 210",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012448",
            "telephone_number": "931-526-8863",
            "fax_number": "931-525-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "KAREN",
        "middle_name": "SUE",
        "credential": "MA, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TN",
            "license": "1563",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.