Healthcare Provider Details

I. General information

NPI: 1124428107
Provider Name (Legal Business Name): ERICA LAUREN THAYER A.UD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. ERICA LAUREN PAUL

II. Dates (important events)

Enumeration Date: 08/27/2014
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 COVEY DR STE 111
FRANKLIN TN
37067-5603
US

IV. Provider business mailing address

100 COVEY DR STE 111
FRANKLIN TN
37067-5603
US

V. Phone/Fax

Practice location:
  • Phone: 615-591-6410
  • Fax: 615-591-6425
Mailing address:
  • Phone: 615-591-6410
  • Fax: 615-591-6425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number1671
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: