Toby Elizabeth Wilson, AU.D.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

4526 Issued in NM

Practice address

1515 Golf Course Rd SE
Ste 103
Rio Rancho, NM 87124-2071

Phone

(505) 933-6315

Fax

(505) 891-5103

NPI assigned

Jun 9, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM, TX2 enrollments

Enrollment records 2

Specialty

Qualified Audiologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kewa Pueblo Health CorporationGroup PAC ID 7618137779, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: toby.wilson.p1@direct.kp-hc.nextgenshare.com

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.

• Kewa Pueblo Health Corporation

  • Federally Qualified Health Center (FQHC)
  • Santo Domingo Pueblo, NM
  • NPI 1467739888

  TX

  Medicare reassignment Care Compare group NPD
• Pueblo of Jemez

  • Clinic/Center
  • Jemez Pueblo, NM
  • NPI 1417082215

  TX

  Medicare reassignment NPD
• Pueblo of Isleta

  • Clinic/Center
  • Isleta, NM
  • NPI 1194738328
  Medicare reassignment
• Pueblo of Jemez

  • Clinic/Center
  • Jemez Pueblo, NM
  • NPI 1225346547
  NPD
• Albuquerque Speech Language and Hearing Center

  • Speech-Language Assistant
  • Albuquerque, NM
  • NPI 1720093503
  NPD (past)
• Kewa Pueblo Health Corporation

  • Community/Behavioral Health Agency
  • Santo Domingo Pueblo, NM
  • NPI 1336659077
  NPD (past)
• Pueblo of Isleta

  • Ambulance
  • Isleta, NM
  • NPI 1023191368
  NPD (past)
• Pueblo of Isleta

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Isleta, NM
  • NPI 1407979008
  NPD (past)

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1124254875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CHESHIRE PKWY N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554464103",
            "telephone_number": "888-510-0766",
            "fax_number": "763-268-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 GOLF COURSE RD SE",
            "address_2": "STE 103",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871242071",
            "telephone_number": "505-933-6315",
            "fax_number": "505-891-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TOBY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NM",
            "license": "4526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Eva Willis, NURSE PRACTITIONER
• Taloa Willis, PTA
• Kristina Willoughby, LMSW
• Willow Springs Dental Hygiene Clinic
• Gretchen Ann Wilson, MSOTRL
• Alec Winkelblech
• Debra Renee Winkles, CNP
• Dena Marie Wisdom
• Rebecca Leigh Wise, M.S., CCC-SLP
• Wisteria Dental LLC

• Audiologist-Hearing Aid Fitter in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Audiologist-Hearing Aid Fitter in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.