Active NPI
Janet L Davila, AU.D., C.C.C.-A.
- Audiologist
- Austin, TX
National Provider Identifier
1568637452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 80030
- Practice address
- 12221 N Mo Pac Expy
Austin, TX 78758-2401 - Phone
- (512) 901-4006
- Fax
- (512) 901-3906
- NPI assigned
- Apr 23, 2008
- 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 | 80030 | TX | Primary |
Addresses
Primary practice location
12221 N Mo Pac Expy
Austin, TX 78758-2401
Mailing address
12221 N Mo Pac Expy
Austin, TX 78758-2401
Phone (512) 901-4006
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192842601 | Medicaid | TX | |
| P01292698 | Other | TX | RRMC PTAN |
| 192842602 | Medicaid | TX |
Other names 1
- Janet L Buck
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80030 | TX | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Diagnostic Clinic, PA | Past | Accepting new patients | |
| Tejas Hearing Aid Center LLC | Audiologist | Past | Accepting new patients |
Interoperability endpoints
- janet.davila@hca8.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Ambulatory Surgical Clinic/Center
- Austin, TX
- NPI 1619923950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483920000000",
"number": "1568637452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12221 N MO PAC EXPY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787582401",
"telephone_number": "512-901-4006",
"fax_number": "512-901-3906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12221 N MO PAC EXPY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787582401",
"telephone_number": "512-901-4006",
"fax_number": "512-901-3906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVILA",
"first_name": "JANET",
"middle_name": "L",
"credential": "AU.D., C.C.C.-A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-23",
"last_updated": "2017-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "80030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "192842601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC PTAN",
"identifier": "P01292698",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "192842602",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANET",
"last_name": "BUCK",
"middle_name": "L",
"credential": "AU.D., C.C.C.-A.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.