Individual provider Active NPI

Cleona Andrew, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Alamogordo, NM
National Provider Identifier
1609025220
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AUD1432 Issued in NM
Practice address
612 10TH St
Alamogordo, NM 88310-6770
Phone
(575) 437-2926
Fax
(575) 437-3352
NPI assigned
Sep 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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 AUD1432 NM Primary
Audiologist 231H00000X 1432 NM

Addresses

Primary practice location

612 10TH St
Alamogordo, NM 88310-6770

Mailing address

5303 50TH St
Lubbock, TX 79414-5823
Phone (806) 799-8950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090318000327 NM Practitioner - Qualified Audiologist 4486711462 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD1432NMMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston Hearing Aid Center, Inc. Audiologist CurrentSince Jan 1, 2012 Accepting new patients
Jack Jordan Jones Enterprises Audiologist-Hearing Aid Fitter Past Accepting new patients

Locations

612 10th St
Alamogordo, NM 88310
Phone (575) 437-2926

812 New York Ave
Alamogordo, NM 88310
Phone (575) 437-2926

10131 Coors Blvd NW
Ste C4
Albuquerque, NM 87114
Phone (505) 830-4327

2708 San Mateo Blvd NE
Albuquerque, NM 87110
Phone (505) 830-4327

5901 Wyoming Blvd NE
Albuquerque, NM 87109
Phone (505) 821-4422

2905 N Prince St
Ste A
Clovis, NM 88101
Phone (505) 762-5355

100 E Broadway St
Hobbs, NM 88240
Phone (575) 392-3021

3851 E Lohman Ave
Ste 2
Las Cruces, NM 88011
Phone (505) 326-2601

2436 Cerrillos Rd
Santa Fe, NM 87505
Phone (505) 424-1066

5303 50th St
Lubbock, TX 79414
Phone (806) 799-1484

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.

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1609025220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5303 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794145823",
            "telephone_number": "806-799-8950",
            "fax_number": "806-799-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 10TH ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106770",
            "telephone_number": "575-437-2926",
            "fax_number": "575-437-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREW",
        "first_name": "CLEONA",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NM",
            "license": "AUD1432",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NM",
            "license": "1432",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.