Active NPI
Mandi R Chambless, AU.D.
- Audiologist-Hearing Aid Fitter
- Georgetown, TX
National Provider Identifier
1205158458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 51765
- Practice address
- 1530 Sun City Blvd Ste 140
Georgetown, TX 78633-5351 - Phone
- (512) 868-3109
- NPI assigned
- Feb 15, 2010
- Sex
- Female
- Sole proprietor
- No
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-Hearing Aid Fitter | 237600000X | 51765 | TX | Primary |
Addresses
Primary practice location
1530 Sun City Blvd Ste 140
Georgetown, TX 78633-5351
Mailing address
1814 Hickory Ridge CV
Round Rock, TX 78665-7802
Phone (512) 705-8827
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
| License | State | Type | Specialty |
|---|---|---|---|
| 51765 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Estes Audiology-Sun City, PLLC | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Families Who Listen | 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.
-
- Audiologist-Hearing Aid Fitter
- Georgetown, TX
- NPI 1750568564
-
- Audiologist
- Austin, TX
- NPI 1982882858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334102400000",
"number": "1205158458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1814 HICKORY RIDGE CV",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786657802",
"telephone_number": "512-705-8827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 SUN CITY BLVD STE 140",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786335351",
"telephone_number": "512-868-3109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBLESS",
"first_name": "MANDI",
"middle_name": "R",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-15",
"last_updated": "2012-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TX",
"license": "51765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.