Healthcare Provider Details

I. General information

NPI: 1144747338
Provider Name (Legal Business Name): CASSIE TUMINELLO BC-HIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2017
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 N LOCUST AVE
LAWRENCEBURG TN
38464-3515
US

IV. Provider business mailing address

2777 JUTES DR
THOMPSONS STATION TN
37179-5308
US

V. Phone/Fax

Practice location:
  • Phone: 931-242-1671
  • Fax:
Mailing address:
  • Phone: 931-242-1671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number0000000745
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: