Healthcare Provider Details

I. General information

NPI: 1609016393
Provider Name (Legal Business Name): ANDREA DAWN WEST-ALDERSON AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2009
Last Update Date: 02/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7640 HIGHWAY 70 S SUITE 207
NASHVILLE TN
37221-1758
US

IV. Provider business mailing address

113 TIMBERLAND DR
COLUMBIA TN
38401-7764
US

V. Phone/Fax

Practice location:
  • Phone: 615-673-6100
  • Fax: 615-673-6103
Mailing address:
  • Phone: 931-334-6532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1403
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number1403
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number1403
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number1403
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: