Individual provider Active NPI

Suezanna Trie Arp, AUD.

  • Audiologist
  • Lubbock, TX
National Provider Identifier
1689758187
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
51762 Issued in TX
Practice address
5303 50TH Street
Lubbock, TX 79414-5823
Phone
(806) 799-8950
Fax
(806) 799-5939
NPI assigned
Oct 24, 2006
Last updated
Aug 5, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 51762 TX Primary
Audiologist 231H00000X 4232 NM

Addresses

Primary practice location

5303 50TH Street
Lubbock, TX 79414-5823

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090226000188 TX Practitioner - Qualified Audiologist 2163588237 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
51762TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jack Jordan Jones Enterprises PastSince Jan 11, 2018 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, 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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1689758187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5303 50TH STREET",
            "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": "5303 50TH STREET",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794145823",
            "telephone_number": "806-799-8950",
            "fax_number": "806-799-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARP",
        "first_name": "SUEZANNA",
        "middle_name": "TRIE",
        "name_prefix": "Dr.",
        "credential": "AUD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51762",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NM",
            "license": "4232",
            "primary": false
        }
    ],
    "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 Aug 5, 2011; 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.