EAST TENNESSEE HEARING CENTER (NPI# 1194082099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194082099 |
| Entity Type | Organization |
| Organization Name | EAST TENNESSEE HEARING CENTER |
| Practice Address |
112 E Myrtle Ave Suite 504 Johnson City TN 37601-8600 |
| Practice Telephone | 4239282885 |
| Practice Fax Number | 4239282885 |
| Mailing Telephone | 4239282885 |
| Mailing Fax Number | 4239282885 |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |
| Authorized Official Name | MRS. MARY LEE BAGWELL (AUDIOLOGIST) |
| Authorized Official Telephone | 4239282885 |
| Authorized Official Credential | M.A., CCC-A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
A000000041 | TN | Ambulatory Health Care Facilities |
| Street Address |
112 E MYRTLE AVE SUITE 504 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-8600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508873944 | Sandra Jean Gray | Social Worker | 112 E Myrtle Ave, Ste 408, Johnson City, TN 37601-8600 | 2006-08-01 |
| 1467711416 | Jean L Daniels | Counselor | 112 E Myrtle Ave, Suite 405, Johnson City, TN 37601-8600 | 2012-05-11 |
| 1548531890 | Light Connection Inc | Physical Therapist | 112 E Myrtle Ave, Ste 312, Johnson City, TN 37601-8600 | 2012-01-18 |
| 1568644854 | Psychological Consulting Services | Marriage & Family Therapist | 112 E Myrtle Ave, Suite 304, Johnson City, TN 37601 | 2007-11-29 |
| 1154515021 | Amanda Jane Paisley | Social Worker | 112 E Myrtle Ave, Suite 408, Johnson City, TN 37601-8600 | 2007-09-04 |
| 1194841361 | Richard Alexander Boleyn | Chiropractor | 112 E Myrtle Ave, Ste 500, Johnson City, TN 37601-8600 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| Taxonomy Code | 261QH0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Hearing and Speech |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221509 | Rise Pediatric Therapy Services | Clinic/Center | 9395 Highway 49, Erin, TN 37061-4901 | 2020-10-08 |
| 1538774807 | Functional Development, LLC | Clinic/Center | 1033 Randy Rd, Ashland City, TN 37015-2865 | 2020-09-13 |
| 1396353009 | Mountain View Speech Therapy. LLC | Clinic/Center | 1509 Johnson Dr, Morristown, TN 37814-3358 | 2020-07-20 |
| 1629639091 | Tuminello Hearing Services, LLC | Clinic/Center | 311 N Locust Ave, Lawrenceburg, TN 38464-3515 | 2019-06-25 |
| 1184284911 | 4 Bridges Audiology | Clinic/Center | 3918 Tennessee Ave Ste 108, Chattanooga, TN 37409-1352 | 2019-06-14 |
| 1912463696 | Northland Hearing Center, Inc. | Clinic/Center | 562 Oak Ridge Tpke, Oak Ridge, TN 37830-7164 | 2019-02-18 |
| 1215409776 | Kelly Mingus Speech Pathology LLC | Clinic/Center | 1117 Lakeview Dr Fl 1, Franklin, TN 37067-3072 | 2018-12-21 |
| 1457895146 | Central Tennessee Ear, Nose & Throat Hearing Center, LLC | Clinic/Center | 787 Weatherly Dr Ste 200, Clarksville, TN 37043-8950 | 2016-12-14 |
| 1477940062 | Weecommunicate, LLC | Clinic/Center | 653 Tobylynn Dr, Nashville, TN 37211-5930 | 2015-04-21 |
| 1477809614 | Murfreesboro Audiology Clinic | Clinic/Center | 811 S Church St, Murfreesboro, TN 37130-4927 | 2012-07-25 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
Please comment or provide details below to improve the information on EAST TENNESSEE HEARING CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.