Individual provider Active NPI

Tina L Lubsen, AU.D., CCC-A

  • Audiologist-Hearing Aid Fitter
  • Jasper, AL
National Provider Identifier
1659332559
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Practice address
1600 Highway 78 E # G
Jasper, AL 35501-4083
Phone
(205) 384-4895
Fax
(285) 384-3227
NPI assigned
Mar 30, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 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 NU Primary
Hearing Instrument Specialist 237700000X NU

Addresses

Primary practice location

1600 Highway 78 E # G
Jasper, AL 35501-4083

Mailing address

8800 SE Sunnyside Rd Ste 300N
Clackamas, OR 97015-5703
Phone (281) 286-2999

Other practice location 1

2685 Pelham Pkwy Ste A
Pelham, AL 35124-1354
Phone (205) 620-6047

Other practice location 2

1088 9th Ave SW Ste 108
Bessemer, AL 35022-7833
Phone (205) 428-8500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160711000560 AL Practitioner - Qualified Audiologist 8426173865 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Associates of Alabama PCGroup PAC ID 8921025354, 43 clinicians

Practice addresses (Care Compare)

833 Saint Vincents Dr
Suite 402
Birmingham, AL 35205-1613
Phone (205) 212-3540

Suite
402 833 St Vincents Dr
Birmingham, AL 35205-1613

Merit-based Incentive Payment System (MIPS)

Final score
90.23 of 100Reported as group
Quality
90.13
Promoting interoperability
100
Improvement activities
40
Cost
77.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Associates of Alabama, P.C. CurrentSince Oct 2, 2023 Accepting new patients
Northland Hearing Centers, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients
Northland Hearing Centers, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients
Northland Hearing Centers, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients
Southeastern Hearing Services, Inc. Past Accepting new patients

Locations

5000 Medical West Way
Ste 406
Bessemer, AL 35022
Phone (205) 481-8620

985 9th Ave SW
Ste 101
Bessemer, AL 35022
Phone (205) 481-7585

833 Saint Vincents Dr
Ste 402
Birmingham, AL 35205
Phone (205) 212-3540

4501 Southlake Pkwy
Ste 200
Hoover, AL 35244
Phone (205) 985-7393

Interoperability endpoints

  • Direct secure messaging: tlubsen@entalabama.emadirect.md

Organizations & group practices 6

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1659332559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 SE SUNNYSIDE RD STE 300N",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155703",
            "telephone_number": "281-286-2999",
            "fax_number": "512-607-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HIGHWAY 78 E # G",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355014083",
            "telephone_number": "205-384-4895",
            "fax_number": "285-384-3227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2685 Pelham Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Pelham",
            "state": "AL",
            "postal_code": "351241354",
            "country_code": "US",
            "telephone_number": "205-620-6047",
            "fax_number": "205-620-1513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1088 9th Ave SW Ste 108",
            "address_purpose": "LOCATION",
            "city": "Bessemer",
            "state": "AL",
            "postal_code": "350227833",
            "country_code": "US",
            "telephone_number": "205-428-8500",
            "fax_number": "503-659-5968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUBSEN",
        "first_name": "TINA",
        "middle_name": "L",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.