Active NPI
Theresa Marie Luley
- Audiologist
- Twentynine Palms, CA
National Provider Identifier
1477538122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 51477
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 51477 | TX | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Family Medicine Physician
- Twentynine Palms, CA
- NPI 1326023011
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.