Active NPI
Jacalyn B Patton, M.S.P.A.
- Audiologist-Hearing Aid Fitter
- Bulverde, TX
National Provider Identifier
1477541308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 50433
- Practice address
- 21 Gleneagles LN
Bulverde, TX 78163-3121 - Phone
- (210) 862-7975
- NPI assigned
- Oct 13, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 50433 | TX | Primary |
| Hearing Instrument Specialist | 237700000X | 50433 | TX |
Addresses
Primary practice location
21 Gleneagles LN
Bulverde, TX 78163-3121
Mailing address
21 Gleneagles LN
Bulverde, TX 78163-3121
Phone (210) 862-7975
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50433 | Other | TX | STATE LICENSE |
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 |
|---|---|---|---|
| 50433 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375747200000",
"number": "1477541308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 GLENEAGLES LN",
"city": "BULVERDE",
"state": "TX",
"postal_code": "781633121",
"telephone_number": "210-862-7975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 GLENEAGLES LN",
"city": "BULVERDE",
"state": "TX",
"postal_code": "781633121",
"telephone_number": "210-862-7975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "JACALYN",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "M.S.P.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-13",
"last_updated": "2013-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TX",
"license": "50433",
"primary": true
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "TX",
"license": "50433",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "50433",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bulverde, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.