NPIMap

Individual provider Active NPI

Shiane Marie Lubin, AU.D.

  • Audiologist
  • Lake Jackson, TX
National Provider Identifier
1558669663
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
80633 Issued in TX
Practice address
215 Oak Dr S Ste F
Lake Jackson, TX 77566-5617
Phone
(979) 299-1520
Fax
(979) 299-1421
NPI assigned
Mar 14, 2011
Last updated
Mar 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 80633 TX Primary
Audiologist-Hearing Aid Fitter 237600000X 80663 TX

Addresses

Primary practice location

215 Oak Dr S Ste F
Lake Jackson, TX 77566-5617

Mailing address

215 Oak Dr S Ste F
Lake Jackson, TX 77566-5617

Other names 1

  • Shaiane Marie Moffitt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.33 of 100Reported as group
Quality
99.72
Promoting interoperability
100
Improvement activities
40
Cost
74.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80663TXMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
ENT and Allergy Associates of Texas PLLC CurrentSince Jan 1, 2026 Accepting new patients
Stephanie Herrera, M.D and Associates, PA Audiologist CurrentSince Feb 19, 2020 Accepting new patients
Metx, LLC Audiologist-Hearing Aid Fitter PastSince Oct 29, 2023 Accepting new patients
Allison Audiology & Hearing Aid Center PC Audiologist PastSince Jan 6, 2014 Accepting new patients
MHS Physicians of Texas Past Accepting new patients
Diablo Valley ENT - a Medical Corporation PastSince Aug 1, 1991 Accepting new patients
University Healthcare Alliance PastSince Mar 1, 2016 Accepting new patients

Locations

915 Gessner Rd
Ste 280
Houston, TX 77024
Phone (713) 461-2626

22999 Highway 59 N
Ste 400
Kingwood, TX 77339
Phone (281) 358-2314

215 Oak Dr S
Ste F
Lake Jackson, TX 77566
Phone (979) 299-1520

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1558669663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 OAK DR S STE F",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 OAK DR S STE F",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665617",
            "telephone_number": "979-299-1520",
            "fax_number": "979-299-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBIN",
        "first_name": "SHIANE",
        "middle_name": "MARIE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-14",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80633",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "80663",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAIANE",
            "last_name": "MOFFITT",
            "middle_name": "MARIE",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.