Active NPI
Tyler Hawthorne, AUD
- Audiologist
- Killeen, TX
National Provider Identifier
1194394379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 81389
- Practice address
- 2501 S W S Young Dr Ste 106
Killeen, TX 76542-2004 - Phone
- (254) 213-2277
- Fax
- (806) 785-4327
- NPI assigned
- Jun 22, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 81389 | TX | |
| Audiologist | 231H00000X | 81389 | TX | Primary |
Addresses
Primary practice location
2501 S W S Young Dr Ste 106
Killeen, TX 76542-2004
Mailing address
5303 50TH St
Lubbock, TX 79414-1817
Phone (806) 799-8950
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 |
|---|---|---|---|
| 81389 | TX | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livingston Hearing Aid Center, Inc. | Audiologist | Current | Accepting new patients |
| Jack Jordan Jones Enterprises | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
Locations
812 New York Ave
Alamogordo, NM 88310
Phone (575) 437-2926
5303 50th St
Lubbock, TX 79414
Phone (806) 799-1484
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.
-
- Hearing Instrument Specialist
- Lubbock, TX
- NPI 1710936836
Audiologist
-
- Audiologist-Hearing Aid Fitter
- Arlington, TX
- NPI 1922405760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1194394379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5303 50TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794141817",
"telephone_number": "806-799-8950",
"fax_number": "806-785-4327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 S W S YOUNG DR STE 106",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765422004",
"telephone_number": "254-213-2277",
"fax_number": "806-785-4327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWTHORNE",
"first_name": "TYLER",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-22",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TX",
"license": "81389",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "81389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.