Active NPI
Debra J Hamilton, MA
- Audiologist
- San Angelo, TX
National Provider Identifier
1396794061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 50146
- Practice address
- 3415 Johnson Ave
San Angelo, TX 76904-5554 - Phone
- (325) 515-5117
- NPI assigned
- May 9, 2006
- 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 | 231H00000X | 50146 | TX | Primary |
Addresses
Primary practice location
3415 Johnson Ave
San Angelo, TX 76904-5554
Mailing address
PO Box 22000
San Angelo, TX 76902-7200
Phone (325) 658-1511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170858801 | Medicaid | TX |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50146 | TX | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588204800000",
"number": "1396794061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22000",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769027200",
"telephone_number": "325-658-1511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 JOHNSON AVE",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769045554",
"telephone_number": "325-515-5117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "DEBRA",
"middle_name": "J",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-09",
"last_updated": "2020-04-30",
"certification_date": "2020-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "50146",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170858801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.