Active NPI
Jamie Rene Gabbard, AU.D.
- Audiologist
- Muncie, IN
National Provider Identifier
1154475440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 23002259A
- Practice address
- 3631 N Morrison Rd
Muncie, IN 47304-5547 - Phone
- (765) 760-1860
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 23002259A | IN | Primary |
Addresses
Primary practice location
3631 N Morrison Rd
Muncie, IN 47304-5547
Mailing address
3631 N Morrison Rd
Muncie, IN 47304-5547
Phone (765) 760-1860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000199037 | Other | IN | ANTHEM PROVIDER NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23002259A | IN | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198195200000",
"number": "1154475440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3631 N MORRISON RD",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473045547",
"telephone_number": "765-760-1860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3631 N MORRISON RD",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473045547",
"telephone_number": "765-760-1860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABBARD",
"first_name": "JAMIE",
"middle_name": "RENE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IN",
"license": "23002259A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000199037",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.