Devan Pearl Haulk Luckabaugh, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

100797 Issued in KY

Practice address

1720 S Virginia St
Hopkinsville, KY 42240-3684

Phone

(270) 886-8468

Fax

(270) 886-8472

NPI assigned

Sep 16, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Devan Pearl Haulk Former name

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jennie Stuart Medical Center IncGroup PAC ID 4183607252, 113 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jennie Stuart Medical Center Inc

  • General Acute Care Hospital
  • Hopkinsville, KY
  • NPI 1235139312
  Medicare reassignment Care Compare group NPD
• Jennie Stuart Medical Center Inc

  • Family Nurse Practitioner
  • Hopkinsville, KY
  • NPI 1790086767

  Audiologist

  NPD
• Jennie Stuart Medical Center Inc

  • Rural Health Clinic/Center
  • Hopkinsville, KY
  • NPI 1912627605
  NPD
• Jennie Stuart Medical Center

  • Home Health Agency
  • Hopkinsville, KY
  • NPI 1538222500
  NPD (past)

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1245548817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1002",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422411002",
            "telephone_number": "270-886-8468",
            "fax_number": "270-886-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 S VIRGINIA ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422403684",
            "telephone_number": "270-886-8468",
            "fax_number": "270-886-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAULK LUCKABAUGH",
        "first_name": "DEVAN",
        "middle_name": "PEARL",
        "name_prefix": "Mrs.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "KY",
            "license": "101876",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "100797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100285510",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEVAN",
            "last_name": "HAULK",
            "middle_name": "PEARL",
            "prefix": "MS.",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Jo Hart
• Ansley Hartley
• Frank D Hartley, CRNA
• Stephanie Kay Harton
• Terry Hatchett, LPCA
• Anne Marie Hayes, CSFA
• Hearing Services of Kentucky Inc.
• Heartland Industries la, Inc
• Dana C Heath, LPP
• Dreama Tuggle Hedrick, LPCC, LCADC

• Audiologist in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Audiologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.