Kayla Wiedebusch, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

81008 Issued in TX

Practice address

517 W Commerce St
Brownwood, TX 76801-1705

Phone

(325) 203-4760

NPI assigned

Jan 5, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Livingston Hearing Aid Center, Inc.

  • Hearing Instrument Specialist
  • Lubbock, TX
  • NPI 1710936836
  NPD
• Jack Jordan Jones Enterprises

  • Audiologist-Hearing Aid Fitter
  • Arlington, TX
  • NPI 1922405760

  Hearing Instrument Specialist

  NPD (past)

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1316650211",
    "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": "517 W COMMERCE ST",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768011705",
            "telephone_number": "325-203-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDEBUSCH",
        "first_name": "KAYLA",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "81008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.LHAC.com",
            "affiliation": "N",
            "address_1": "517 W Commerce St",
            "city": "Brownwood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "768011705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• West Wharton County Hospital District
• West Wharton County Hospital District
• West Wharton County Hospital District
• West Wharton County Hospital District
• Tammy Westerman
• David Eric Wiley, M.D.
• Yasmin Helena Wilkinson, M.D.
• Oliver Alfred Williams, M.D.
• Jaron Nicholas Wilson, PTA
• Kimara Wilson

• All providers in Brownwood, TX
• Hearing Instrument Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.