Individual provider Active NPI

Rachel Gabriel Lingnau, AUD CCCA FAAA

  • Audiologist-Hearing Aid Fitter
  • Clovis, NM
National Provider Identifier
1053494088
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
51650 Issued in TX
Practice address
2909 North Prince Street
Ste 1
Clovis, NM 88101
Phone
(505) 762-5355
Fax
(505) 762-1999
NPI assigned
Oct 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 51650 TX Primary

Addresses

Primary practice location

2909 North Prince Street
Ste 1
Clovis, NM 88101

Mailing address

5303 50TH Street
Lubbock, TX 79414
Phone (806) 799-8950

Other identifiers 3

IdentifierTypeStateIssuer
80364AOtherTXBLUE CROSS BLUE SHIELD
NM00E277OtherNMBLUE CROSS BLUE SHIELD
46407871MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
51650TXMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston Hearing Aid Center, Inc. Audiologist-Hearing Aid Fitter PastSince Jul 13, 2009 Accepting new patients
Jack Jordan Jones Enterprises Audiologist-Hearing Aid Fitter Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053494088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5303 50TH STREET",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79414",
            "telephone_number": "806-799-8950",
            "fax_number": "806-792-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 NORTH PRINCE STREET",
            "address_2": "STE 1",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "88101",
            "telephone_number": "505-762-5355",
            "fax_number": "505-762-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGNAU",
        "first_name": "RACHEL",
        "middle_name": "GABRIEL",
        "name_prefix": "Mrs.",
        "credential": "AUD CCCA FAAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "51650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80364A",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NM00E277",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46407871",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.