=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851565121
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SUSAN BIVENS WEBB MA -CCC-A
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/17/2008
-----------------------------------------------------
Last Update Date | 08/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1932 ALCOA HWY STE 160
-----------------------------------------------------
City | KNOXVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37920-1517
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 865-244-4396
-----------------------------------------------------
Fax | 865-947-7907
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7680 DANNAHER DR
-----------------------------------------------------
City | POWELL
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37849-4052
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 865-521-8050
-----------------------------------------------------
Fax | 865-947-7907
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 231H00000X
-----------------------------------------------------
Taxonomy Name | Audiologist
-----------------------------------------------------
License Number | A 0000001150
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------