Individual provider Active NPI

Jon Drake, AUD

  • Audiologist-Hearing Aid Fitter
  • Albuquerque, NM
National Provider Identifier
1124337803
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
80582 Issued in TX
Practice address
7001 Prospect PL NE
Albuquerque, NM 87110-4311
Phone
(505) 764-0036
Fax
(505) 764-0446
NPI assigned
Sep 29, 2010
Last updated
Jan 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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 80582 TX Primary

Addresses

Primary practice location

7001 Prospect PL NE
Albuquerque, NM 87110-4311

Mailing address

701 Oakland Hills LN
Kerrville, TX 78028-6429
Phone (830) 385-2034

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

LicenseStateTypeSpecialty
80582TXMDMental Health Counselor
80349TXMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
CGN Epent CurrentSince May 1, 2018 Accepting new patients
Jicarilla IHS Pharmacy CurrentSince Mar 5, 2023 Accepting new patients
McCrae Hearing Ventures, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients
Frances Hearing Instruments Inc Past Accepting new patients

Locations

201 Bartlett Dr
#A
El Paso, TX 79912
Phone (915) 779-5866

5959 Gateway Blvd W
Ste 160
El Paso, TX 79925
Phone (915) 779-5866

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1124337803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 OAKLAND HILLS LN",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286429",
            "telephone_number": "830-385-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 PROSPECT PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104311",
            "telephone_number": "505-764-0036",
            "fax_number": "505-764-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "JON",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-29",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "80582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 23, 2020; 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.