Healthcare Provider Details

I. General information

NPI: 1033779715
Provider Name (Legal Business Name): ASPIRE AUDIOLOGY & HEARING, LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2019
Last Update Date: 07/17/2024
Certification Date: 07/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1994 GALLATIN PIKE N STE 200
MADISON TN
37115-2024
US

IV. Provider business mailing address

1994 GALLATIN PIKE N STE 200
MADISON TN
37115-2024
US

V. Phone/Fax

Practice location:
  • Phone: 615-851-9005
  • Fax: 615-851-9007
Mailing address:
  • Phone: 615-851-9005
  • Fax: 615-851-9007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: RANDI L YONTZ
Title or Position: OWNER
Credential: AU.D.
Phone: 573-631-7134