Individual provider Active NPI

Abigail Emma Prawitz

  • Audiologist
  • Las Cruces, NM
National Provider Identifier
1790522266
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
4351 E Lohman Ave Ste 103
Las Cruces, NM 88011-8258
Phone
(575) 580-9795
Fax
(855) 780-8990
NPI assigned
Jul 11, 2024
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

4351 E Lohman Ave Ste 103
Las Cruces, NM 88011-8258

Mailing address

4351 E Lohman Ave Ste 103
Las Cruces, NM 88011-8258
Phone (575) 580-9795

Other practice location 1

1180 Mall Dr Ste C
Las Cruces, NM 88011-8192
Phone (575) 288-1605

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241030000064 NM Practitioner - Qualified Audiologist 6507399516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4351 E Lohman Ave
Suite 103
Las Cruces, NM 88011-8258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Hearing Care, LLC Audiologist CurrentSince Aug 23, 2024 Accepting new patients
Alamogordo Ear Nose & Throat - Facial Plastic Surgery PC PastSince Jul 21, 2024 Accepting new patients

Locations

1180 Mall Dr
Ste C
Las Cruces, NM 88011
Phone (505) 532-5500

4351 E Lohman Ave
Ste 103
Las Cruces, NM 88011
Phone (575) 521-9795

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": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1790522266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 E LOHMAN AVE STE 103",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118258",
            "telephone_number": "575-580-9795",
            "fax_number": "855-780-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 E LOHMAN AVE STE 103",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118258",
            "telephone_number": "575-580-9795",
            "fax_number": "855-780-8990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 Mall Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880118192",
            "country_code": "US",
            "telephone_number": "575-288-1605",
            "fax_number": "608-650-5034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRAWITZ",
        "first_name": "ABIGAIL",
        "middle_name": "EMMA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.