NPIMap

Individual provider Active NPI

Lindsey Tubaugh, M.S., CCC-A

  • Audiologist
  • Bountiful, UT
National Provider Identifier
1073846523
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
82374624101 Issued in UT
Practice address
280 N Main St
2ND Floor
Bountiful, UT 84010-6136
Phone
(801) 292-8655
NPI assigned
Sep 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 82374624101 UT Primary

Addresses

Primary practice location

280 N Main St
2ND Floor
Bountiful, UT 84010-6136

Mailing address

280 N Main St
2ND Floor
Bountiful, UT 84010-6136
Phone (801) 292-8655

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
82374624101UTMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Burlington Ear Nose & Throat Clinic PC PastSince Oct 1, 2001 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJEHBD

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1073846523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 N MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106136",
            "telephone_number": "801-292-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106136",
            "telephone_number": "801-292-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBAUGH",
        "first_name": "LINDSEY",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "82374624101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.