Active NPI
Lisa Cavell Durham, BCHIS
- Hearing Instrument Specialist
- Granbury, TX
National Provider Identifier
1053957654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 50013
- Practice address
- 1802 Acton Hwy
Granbury, TX 76049-5900 - Phone
- (817) 579-1065
- NPI assigned
- Nov 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 50013 | TX | Primary |
Addresses
Primary practice location
1802 Acton Hwy
Granbury, TX 76049-5900
Mailing address
1802 Acton Hwy
Granbury, TX 76049-5900
Phone (817) 579-1065
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 228133 | Other | TX | HEARING AIDS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 50013 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574121600000",
"number": "1053957654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 ACTON HWY",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760495900",
"telephone_number": "817-579-1065",
"fax_number": "817-579-1065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 ACTON HWY",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760495900",
"telephone_number": "817-579-1065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURHAM",
"first_name": "LISA",
"middle_name": "CAVELL",
"credential": "BCHIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-19",
"last_updated": "2019-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "TX",
"license": "50013",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEARING AIDS",
"identifier": "228133",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Granbury, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.