Land of Enchantment Audiology LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

4526 Issued in NM

Legal business name

LAND OF ENCHANTMENT AUDIOLOGY LLC

Practice address

264 S Camino del Pueblo
Building B
Bernalillo, NM 87004-6070

Phone

(505) 807-9805

NPI assigned

Jan 12, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Toby Elizabeth Wilson, AU.D.

Title

Audiologist

Phone

(505) 807-9805

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1831588052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 WYOMING BLVD NE",
            "address_2": "STE J-124",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093838",
            "telephone_number": "505-807-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 S CAMINO DEL PUEBLO",
            "address_2": "BUILDING B",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "870046070",
            "telephone_number": "505-807-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAND OF ENCHANTMENT AUDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TOBY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "505-807-9805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NM",
            "license": "4526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Keeswood
• Dylan R Kester, LPCC
• Martin Jon Kileen, M.D.,M.P.H.
• Evaggelos Klonis
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• Marilyn Lande
• Jay Lasko, L.AC., D.O.M.
• Lighthouse Home Healthcare, LLC
• Josclyn Lister, MSW
• Evangelina Lopez, CDA

• Hearing and Speech Clinic/Center in Bernalillo, NM
• Providers in Bernalillo, NM by specialty
• Hearing and Speech Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.