CARRIE E TILLEY (NPI# 1568756906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568756906 |
| Entity Type | Individual |
| Full Name | CARRIE E TILLEY |
| Credential | AU.D |
| Practice Address |
971 Lakeland Dr Ste 854 Jackson MS 39216-4608 |
| Practice Telephone | 6019812825 |
| Practice Fax Number | 6019812827 |
| Mailing Telephone | 6019812825 |
| Mailing Fax Number | 6019812827 |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2011-06-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | A3567 | MS | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709631 | Carrie Jennifer Tilley | Homemaker | 1614 S Kanawha St, Beckley, WV 25801-6239 | 2020-10-30 |
| 1467680785 | Carrie S Tilley | Nurse Practitioner | 2150 Pennsylvania Ave Nw, Suite 1-200, Washington, DC 20037-3201 | 2009-06-25 |
| Street Address |
971 LAKELAND DR STE 854 |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982190120 | Taylor L. Abbey | Audiologist | 971 Lakeland Dr Ste 854, Jackson, MS 39216-4608 | 2018-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609359884 | Proaud Consulting Inc. | Audiologist | 238 S Hope Chapel Rd, Jackson, NJ 08527-5023 | 2018-09-13 |
| 1174866867 | Connect Hearing, Inc | Audiologist | 464 W 3rd St, Suite 109, Jackson, GA 30233-1802 | 2013-04-01 |
| 1750632162 | Connect Hearing, Inc. | Audiologist | 72 Stonebridge Blvd, Suite 4, Jackson, TN 38305-2158 | 2012-09-25 |
| 1154604064 | Kelli Lynn Bogue | Audiologist | 2027 4th St, Jackson, MI 49203-4572 | 2011-09-27 |
| 1083750996 | Eliza S. Petersen | Audiologist | 555 E Broadway Ste. 224, Box 428, Jackson, WY 83001-0428 | 2007-01-29 |
| 1083782775 | Ms School for The Deaf and Blind | Audiologist | 1253 Eastover Dr, Jackson, MS 39211-6315 | 2006-12-01 |
| 1215013818 | Ojus Malphurs | Audiologist | 5903 Ridgewood Rd Ste 102, Jackson, MS 39211-3700 | 2006-10-27 |
| 1285728576 | Mary Lee Mcalexander | Audiologist | Vamc 1500 E. Woodrow Wilson, Audiology Service, Jackson, MS 39216 | 2006-10-03 |
| 1699882746 | Larry Lamar Rollison | Audiologist | 1500 Woodrow Wilson, Jackson, MS 39211 | 2006-08-24 |
| 1629024799 | Kristin Ann Regan | Audiologist | 2136 Robinson Rd Ste 3, Jackson, MI 49203 | 2006-05-26 |
| Find all providers in JACKSON | ||||
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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.