Individual provider Active NPI

Jean Ann Dugas, M.S. , CCC-A

  • Audiologist-Hearing Aid Fitter
  • Albuquerque, NM
National Provider Identifier
1093998924
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
271 Issued in NM
Practice address
7520 Montgomery Blvd NE BLDG E15
Albuquerque, NM 87109-1586
Phone
(505) 872-4327
Fax
(505) 872-1041
NPI assigned
Dec 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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 271 NM Primary

Addresses

Primary practice location

7520 Montgomery Blvd NE BLDG E15
Albuquerque, NM 87109-1586

Mailing address

7520 Montgomery Blvd NE BLDG E15
Albuquerque, NM 87109-1586
Phone (505) 872-4327

Other identifiers 1

IdentifierTypeStateIssuer
000K2020MedicaidNM

Other names 1

  • Mrs. Jean Klar Dugas Other name

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
271NMMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Albuquerque Speech Language and Hearing Center Past Accepting new patients

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": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257897600000",
    "number": "1093998924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 MONTGOMERY BLVD NE BLDG E15",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091586",
            "telephone_number": "505-872-4327",
            "fax_number": "505-872-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 MONTGOMERY BLVD NE BLDG E15",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091586",
            "telephone_number": "505-872-4327",
            "fax_number": "505-872-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGAS",
        "first_name": "JEAN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.S. , CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2009-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NM",
            "license": "271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000K2020",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "DUGAS",
            "middle_name": "KLAR",
            "prefix": "MRS.",
            "credential": "M.S., CCC-A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.