Individual provider Active NPI

Ruby Lynn Zubrod, CCC A

  • Audiologist
  • Cheyenne, WY
National Provider Identifier
1609957059
Registry record updated Dec 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-994 Issued in WY
Practice address
7215 Commons Cir
Unit C
Cheyenne, WY 82009-2666
Phone
(307) 426-4327
Fax
(307) 638-0394
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 200342 CO
Audiologist 231H00000X A-994 WY Primary

Addresses

Primary practice location

7215 Commons Cir
Unit C
Cheyenne, WY 82009-2666

Mailing address

PO Box 21804
Cheyenne, WY 82003
Phone (307) 426-4327

Other names 1

  • Ruby Chaffin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111103000918 WY Practitioner - Qualified Audiologist 1456417534 Reassigns benefits to 1 organization
I20150121000257 NE Practitioner - Qualified Audiologist 1456417534

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brant Audiology, LLCGroup PAC ID 1254405657, 4 clinicians

Practice addresses (Care Compare)

968 Gilchrist St
Wheatland, WY 82201-2932
Phone (307) 322-3332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
504COMDMassage Therapist
200342COMDAudiologist
A-994WYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Montrose Ears, Nose and Throat Center, L.L.C. PastSince Sep 1, 2007 Accepting new patients

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1609957059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21804",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "82003",
            "telephone_number": "307-426-4327",
            "fax_number": "307-426-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 COMMONS CIR",
            "address_2": "UNIT C",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820092666",
            "telephone_number": "307-426-4327",
            "fax_number": "307-638-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBROD",
        "first_name": "RUBY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "CCC A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "200342",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WY",
            "license": "A-994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUBY",
            "last_name": "CHAFFIN",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.