Basic Information
| Provider Information | |||||||||
| NPI: | 1275716102 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHERER | ||||||||
| FirstName: | JINA | ||||||||
| MiddleName: | MARIA | ||||||||
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| NameSuffix: | |||||||||
| Credential: | AUD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 99 WHITE BRIDGE RD | ||||||||
| Address2: | SUITE 106 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372051448 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153548011 | ||||||||
| FaxNumber: | 6153548013 | ||||||||
| Practice Location | |||||||||
| Address1: | 99 WHITE BRIDGE RD | ||||||||
| Address2: | SUITE 106 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372051448 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153548011 | ||||||||
| FaxNumber: | 6153548013 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/13/2007 | ||||||||
| LastUpdateDate: | 08/06/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 08/06/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | A1338 | TN | Y | Speech, Language and Hearing Service Providers | Audiologist |
ID Information
| ID | Type | State | Issuer | Description | 3197031 | 05 | TN | MEDICAID |