Individual provider Active NPI

Amber Michelle Caldwell, AU.D.

  • Audiologist
  • Lubbock, TX
National Provider Identifier
1174060610
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
80486 Issued in TX
Practice address
3502 9TH St Ste 410
Lubbock, TX 79415-3368
Phone
(806) 775-9305
Fax
(806) 775-9302
NPI assigned
Jan 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 80486 TX Primary

Addresses

Primary practice location

3502 9TH St Ste 410
Lubbock, TX 79415-3368

Mailing address

3502 9TH St Ste 410
Lubbock, TX 79415-3368
Phone (806) 775-9305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240129001943 TX Practitioner - Qualified Audiologist 5799069985 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80486TXMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Physician Services of South Texas CurrentSince Jan 1, 2024 Accepting new patients
Children'S Physician Services of South Texas CurrentSince Jan 1, 2024 Accepting new patients
Children'S Physician Services of South Texas Past Accepting new patients
Lubbock County Hospital District Past Accepting new patients

Locations

3533 S Alameda St
Corpus Christi, TX 78411
Phone (361) 694-5445

3533 S Alameda St
Ste 501
Corpus Christi, TX 78411
Phone (361) 694-5778

3533 S Alameda St
Ste 203
Corpus Christi, TX 78411

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1174060610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 9TH ST STE 410",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794153368",
            "telephone_number": "806-775-9305",
            "fax_number": "806-775-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 9TH ST STE 410",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794153368",
            "telephone_number": "806-775-9305",
            "fax_number": "806-775-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "AMBER",
        "middle_name": "MICHELLE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.