Active NPI
Toni Davis Mann, AUD CCC A
- Audiologist-Hearing Aid Fitter
- Lubbock, TX
National Provider Identifier
1083628598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 3398
- Practice address
- 4505 82ND Street
Suite 8
Lubbock, TX 79424-3219 - Phone
- (806) 798-3600
- Fax
- (806) 798-3601
- NPI assigned
- Jul 28, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 50735 | TX | |
| Audiologist-Hearing Aid Fitter | 237600000X | 3398 | TX | Primary |
Addresses
Primary practice location
4505 82ND Street
Suite 8
Lubbock, TX 79424-3219
Mailing address
4505 82ND Street
Suite 8
Lubbock, TX 79424-3219
Phone (806) 798-3600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102313100 | Other | TX | FIRST CARE LIFE & HEALTH |
| 022447901 | Medicaid | TX | |
| 80247A | Other | TX | BCBS |
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 |
|---|---|---|---|
| 3398 | TX | MD | Audiologist-Hearing Aid Fitter |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist-Hearing Aid Fitter
- Lubbock, TX
- NPI 1447269402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335916800000",
"number": "1083628598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4505 82ND STREET",
"address_2": "SUITE 8",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794243219",
"telephone_number": "806-798-3600",
"fax_number": "806-798-3601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4505 82ND STREET",
"address_2": "SUITE 8",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794243219",
"telephone_number": "806-798-3600",
"fax_number": "806-798-3601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "TONI",
"middle_name": "DAVIS",
"credential": "AUD CCC A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2012-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "50735",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TX",
"license": "3398",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CARE LIFE & HEALTH",
"identifier": "102313100",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022447901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "80247A",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.