NPIMap

Organization Active NPI

Tribal Audiology

  • Audiologist
  • Albuquerque, NM
National Provider Identifier
1699921882
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
TRIBAL AUDIOLOGY
Practice address
5015 Prospect Ave NE
Albuquerque, NM 87110-4045
Phone
(505) 764-0036
Fax
(505) 764-0446
NPI assigned
Aug 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Chris Atkinson
Title
Audiology Program Manager
Phone
(505) 764-0036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

5015 Prospect Ave NE
Albuquerque, NM 87110-4045

Mailing address

5015 Prospect Ave NE
Albuquerque, NM 87110-4045
Phone (505) 764-0036

Other identifiers 1

IdentifierTypeStateIssuer
000K1576MedicaidNM

National Provider Directory

National Provider Directory
Tax ID family
Albuquerque Area Indian Health Board2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5015 Prospect Ave NE
Albuquerque, NM 87110
Phone (505) 764-0036

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1699921882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 PROSPECT AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104045",
            "telephone_number": "505-764-0036",
            "fax_number": "505-764-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 PROSPECT AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104045",
            "telephone_number": "505-764-0036",
            "fax_number": "505-764-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBAL AUDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "AUDIOLOGY PROGRAM MANAGER",
        "authorized_official_telephone_number": "505-764-0036"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000K1576",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.