Active NPI
Diane Shaffer Bass, M.S.-CCC(A)
- Audiologist
- Beaumont, TX
National Provider Identifier
1235202052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 50198
- Practice address
- 3330 Fannin St
Beaumont, TX 77701-3801 - Phone
- (409) 363-0291
- Fax
- (409) 835-2799
- NPI assigned
- Nov 17, 2006
- 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 | 50198 | TX | Primary |
Addresses
Primary practice location
3330 Fannin St
Beaumont, TX 77701-3801
Mailing address
PO Box 7590
Beaumont, TX 77726-7590
Phone (409) 363-0291
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 |
|---|---|---|---|
| 50198 | TX | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Patient Care Inc | Current | Accepting new patients |
Locations
3330 Fannin St
Beaumont, TX 77701
Phone (409) 832-3304
Organizations & group practices 1
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.
-
- In Home Supportive Care Agency
- Beaumont, TX
- NPI 1073370029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235202052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7590",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777267590",
"telephone_number": "409-363-0291",
"fax_number": "409-835-2799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 FANNIN ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777013801",
"telephone_number": "409-363-0291",
"fax_number": "409-835-2799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "DIANE",
"middle_name": "SHAFFER",
"credential": "M.S.-CCC(A)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "50198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.