Individual provider Active NPI

Gabrielle Tabb, AU.D., CCC-A

  • Audiologist
  • Lufkin, TX
National Provider Identifier
1164045399
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
81331 Issued in TX
Practice address
601 Ellis Ave
Lufkin, TX 75904-3820
Phone
(936) 632-2252
Fax
(936) 632-0712
NPI assigned
May 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 81331 TX Primary

Addresses

Primary practice location

601 Ellis Ave
Lufkin, TX 75904-3820

Mailing address

601 Ellis Ave
Lufkin, TX 75904-3820
Phone (936) 632-2252

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
81331TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ou Health Partners, Inc PastSince May 1, 2020 Accepting new patients
LG Audiological Enterprises, LLC Audiologist Past Accepting new patients

Organizations & group practices 2

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": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1164045399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELLIS AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043820",
            "telephone_number": "936-632-2252",
            "fax_number": "936-632-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELLIS AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043820",
            "telephone_number": "936-632-2252",
            "fax_number": "936-632-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABB",
        "first_name": "GABRIELLE",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-21",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.