Individual provider Active NPI

Theresa Marie Luley

  • Audiologist
  • Twentynine Palms, CA
National Provider Identifier
1477538122
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
51477 Issued in TX
Practice address
Magtftc McAgcc Box 788250
Naval Hospital Attn Professional Affairs
Twentynine Palms, CA 92278-8250
Phone
(760) 830-2420
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 51477 TX Primary

Addresses

Primary practice location

Magtftc McAgcc Box 788250
Naval Hospital Attn Professional Affairs
Twentynine Palms, CA 92278-8250

Mailing address

61657 Alta Vista Dr
Joshua Tree, CA 92252-2748
Phone (760) 366-8478

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

LicenseStateTypeSpecialty
51477TXMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert E. Bush Naval Hospital Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477538122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61657 ALTA VISTA DR",
            "city": "JOSHUA TREE",
            "state": "CA",
            "postal_code": "922522748",
            "telephone_number": "760-366-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAGTFTC MCAGCC BOX 788250",
            "address_2": "NAVAL HOSPITAL ATTN PROFESSIONAL AFFAIRS",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922788250",
            "telephone_number": "760-830-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LULEY",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twentynine Palms, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.