Basic Information
| Provider Information | |||||||||
| NPI: | 1396881793 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AUDIOLOGY ASSOCIATES OF NASHVILLE LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 99 WHITE BRIDGE RD | ||||||||
| Address2: | SUITE 106 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372051449 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153548011 | ||||||||
| FaxNumber: | 6153548013 | ||||||||
| Practice Location | |||||||||
| Address1: | 99 WHITE BRIDGE RD | ||||||||
| Address2: | SUITE 106 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372051449 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153548011 | ||||||||
| FaxNumber: | 6153548013 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/30/2007 | ||||||||
| LastUpdateDate: | 08/06/2021 | ||||||||
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| AuthorizedOfficialLastName: | SCHERER | ||||||||
| AuthorizedOfficialFirstName: | JINA | ||||||||
| AuthorizedOfficialMiddleName: | MARIE | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER AUDIOLOGIST | ||||||||
| AuthorizedOfficialTelephone: | 6153548011 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | AUD CCCA | ||||||||
| NPICertificationDate: | 08/06/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237700000X | 459 | TN | N | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist | 237600000X | 1338 | TN | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter |
ID Information
| ID | Type | State | Issuer | Description | 3197031 | 05 | TN | MEDICAID |