Active NPI
Debra Joan Abel, AU.D.
- Audiologist
- Poway, CA
National Provider Identifier
1073519955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU 2412
- Practice address
- 15525 Pomerado Rd
E-1
Poway, CA 92064-2435 - Phone
- (858) 618-1249
- Fax
- (858) 618-1284
- NPI assigned
- Jun 24, 2005
- Last updated
- Apr 25, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU 2412 | CA | Primary |
| Assistive Technology Practitioner Audiologist | 231HA2400X | AU 2412 | CA | |
| Assistive Technology Supplier Audiologist | 231HA2500X | AU 2412 | CA | |
| Audiologist-Hearing Aid Fitter | 237600000X | A--00248 | OH | |
| Audiologist-Hearing Aid Fitter | 237600000X | HA 7238 | CA |
Addresses
Primary practice location
15525 Pomerado Rd
E-1
Poway, CA 92064-2435
Mailing address
15525 Pomerado Rd
E-1
Poway, CA 92064-2435
Phone (858) 618-1249
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2412 | CA | MD | School Psychologist |
| AU 2412 | CA | MD | Assistive Technology Supplier Audiologist |
| HA 7238 | CA | MD | Audiologist-Hearing Aid Fitter |
| A--00248 | OH | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398384000000",
"number": "1073519955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15525 POMERADO RD",
"address_2": "E-1",
"city": "POWAY",
"state": "CA",
"postal_code": "920642435",
"telephone_number": "858-618-1249",
"fax_number": "858-618-1284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15525 POMERADO RD",
"address_2": "E-1",
"city": "POWAY",
"state": "CA",
"postal_code": "920642435",
"telephone_number": "858-618-1249",
"fax_number": "858-618-1284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABEL",
"first_name": "DEBRA",
"middle_name": "JOAN",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-24",
"last_updated": "2014-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU 2412",
"primary": true
},
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "CA",
"license": "AU 2412",
"primary": false
},
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": "CA",
"license": "AU 2412",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "OH",
"license": "A--00248",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "HA 7238",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.