PROFESSIONAL AUDIOLOGICAL SERVICES, INC. (NPI# 1710239967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710239967 |
Entity Type | Organization |
Organization Name | PROFESSIONAL AUDIOLOGICAL SERVICES, INC. |
Practice Address |
5118 Stage Rd Memphis TN 38134-3166 |
Mailing Address |
5108 Stage Rd Memphis TN 38134-3164 |
Practice Telephone | 9013720040 |
Practice Fax Number | 9013728685 |
Mailing Telephone | 9013720040 |
Mailing Fax Number | 9013728685 |
Enumeration Date | 2012-10-12 |
Last Update Date | 2012-10-12 |
Authorized Official Name | LORETTA COLTHARP MORTON (PRESIDENT) |
Authorized Official Telephone | 9013720040 |
Authorized Official Credential | AU.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | A103 | TN | Suppliers |
Y | 231HA2500X |
Audiologist Specialization: Assistive Technology Supplier |
A103 | TN | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 1529238 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881964849 | Professional Audiological Services, Inc. | Audiologist-Hearing Aid Fitter | 5118 Stage Rd, Memphis, TN 38134-3166 | 2012-01-09 |
Street Address |
5118 STAGE RD |
City | MEMPHIS |
State | TN |
Zip Code | 38134-3166 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659384857 | Loretta Coltharp Morton | Audiologist | 5118 Stage Rd, Memphis, TN 38134-3166 | 2006-08-15 |
1780238121 | Allison Mangialardi | Audiologist | 5118 Stage Rd, Memphis, TN 38134-3166 | 2019-07-24 |
1851787592 | Sarah E King | Audiologist-Hearing Aid Fitter | 5118 Stage Rd, Memphis, TN 38134-3166 | 2015-04-09 |
1881964849 | Professional Audiological Services, Inc. | Audiologist-Hearing Aid Fitter | 5118 Stage Rd, Memphis, TN 38134-3166 | 2012-01-09 |
1962658377 | Phoenix-restoration Facilities, Inc. | Counselor | 5118 Stage Rd, Memphis, TN 38134-3166 | 2008-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841839313 | Tiffany Catrell Williams | Technician | 5312 Yellowood Road, Memphis, TN 38134 | 2020-01-02 |
1225676489 | Sandra Kay Branch | Technician | 2010 Joe Brooks Dr, Memphis, TN 38134 | 2019-12-18 |
1780151092 | Stephen R Hadley | Pharmacist | 3090 Kirby Whitten Rd, Bartlett, TN 38134 | 2018-10-25 |
1760962450 | Delta Transportation Services | Non-emergency Medical Transport (VAN) | 2856 Alfaree St, Bartlett, TN 38134 | 2018-08-21 |
1013409853 | Chosen Vessel Ministries | Clinic/Center | 6551 Stage Oaks Drive, Suite 4, Bartlett, TN 38134 | 2018-06-06 |
1710495858 | Lifetech Ambulance, LLC | Ambulance | 2874 Shelby St Ste 150, Bartlett, TN 38134 | 2018-01-10 |
1144744459 | Robin Coughlin | Counselor | 6553 Honeybrook Rd., Memphis, TN 38134 | 2017-07-28 |
1174047484 | Shannon Eric Overley | Behavioral Analyst | 5909 Shelby Oaks Drive Suite #100, Memphis, TN 38134 | 2017-07-28 |
1063881928 | Nursing Solutions | Nursing Care | 4311 Fiske Valley Drive, Memphis, TN 38134 | 2015-09-22 |
1821479254 | Mid-south Healthnet | Community Based Residential Treatment Facility, Mental Illness | 5909 Shelby Oaks Drive Suite 100, Memphis, TN 38134 | 2015-06-11 |
Find all providers in zip 38134 |
Taxonomy Code | 231HA2500X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Audiologist |
Specialization | Assistive Technology Supplier |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467626630 | Stephanie A Morgan | Audiologist | 4323 Carothers Pkwy Ste 408, Franklin, TN 37067-5923 | 2008-04-17 |
1609074251 | John Calvin Snyder Jr. | Audiologist | 350 Blountville Hwy, Suite 102, Bristol, TN 37620-0213 | 2007-07-05 |
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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.