Individual provider Active NPI

Cathy May Thackrey, AU.D., CCC-A

  • Audiologist
  • Lubbock, TX
National Provider Identifier
1588824809
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
51766 Issued in TX
Practice address
3802 22ND St Ste 200
Lubbock, TX 79410-1147
Phone
(806) 791-0188
Fax
(806) 788-0470
NPI assigned
Jun 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 51766 TX
Audiologist 231H00000X 51766 TX Primary

Addresses

Primary practice location

3802 22ND St Ste 200
Lubbock, TX 79410-1147

Mailing address

3802 22ND St Ste 200
Lubbock, TX 79410-1147
Phone (806) 791-0188

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

LicenseStateTypeSpecialty
51766TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1588824809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 22ND ST STE 200",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101147",
            "telephone_number": "806-791-0188",
            "fax_number": "806-788-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 22ND ST STE 200",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101147",
            "telephone_number": "806-791-0188",
            "fax_number": "806-788-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACKREY",
        "first_name": "CATHY",
        "middle_name": "MAY",
        "name_prefix": "Ms.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "51766",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.