Individual provider Active NPI

Allison Mabry, AU.D.

  • Audiologist
  • Little Rock, AR
National Provider Identifier
1306688031
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
202706 Issued in AR
Practice address
10700 N Rodney Parham Rd Ste A7
Little Rock, AR 72212-4159
Phone
(501) 225-6060
NPI assigned
Jun 12, 2024
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 202706 AR Primary

Addresses

Primary practice location

10700 N Rodney Parham Rd Ste A7
Little Rock, AR 72212-4159

Mailing address

10700 N Rodney Parham Rd Ste A7
Little Rock, AR 72212-4159
Phone (501) 225-6060

Other practice location 1

675 California Ave SW
Camden, AR 71701-4637
Phone (870) 837-2823

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240917003625 AR Practitioner - Qualified Audiologist 2264973320 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
202706ARMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Hearing LLC Single Specialty CurrentSince Jun 3, 2024 Accepting new patients

Locations

675 California Ave SW
Camden, AR 71701
Phone (870) 836-6055

10700 N Rodney Parham Rd
Little Rock, AR 72212
Phone (501) 225-4648

10700 N Rodney Parham Rd
Ste A7
Little Rock, AR 72212
Phone (501) 225-6060

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1306688031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 N RODNEY PARHAM RD STE A7",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124159",
            "telephone_number": "501-225-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 N RODNEY PARHAM RD STE A7",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124159",
            "telephone_number": "501-225-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 California Ave SW",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "AR",
            "postal_code": "717014637",
            "country_code": "US",
            "telephone_number": "870-837-2823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MABRY",
        "first_name": "ALLISON",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AR",
            "license": "202706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.