Individual provider Active NPI

Angela Kay Middlebrooks, AU.D.,CCC-A

  • Audiologist-Hearing Aid Fitter
  • San Angelo, TX
National Provider Identifier
1871784207
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
80462 Issued in TX
Practice address
3001 S Jackson St
Suite 209
San Angelo, TX 76904-5129
Phone
(325) 223-6360
Fax
(325) 223-6674
NPI assigned
Aug 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 80462 TX Primary

Addresses

Primary practice location

3001 S Jackson St
Suite 209
San Angelo, TX 76904-5129

Mailing address

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130326000603 TX Practitioner - Qualified Audiologist 0749367720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Oklahoma College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3001 S Jackson St
San Angelo, TX 76904-5129
Phone (325) 793-3411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
349OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The West Texas Rehabilitation Center CurrentSince Feb 6, 2013 Accepting new patients
The West Texas Rehabilitation Center CurrentSince Feb 6, 2013 Accepting new patients
Oklahoma Otolaryngology Hearing Center Inc Past Accepting new patients

Locations

4601 Hartford St
Abilene, TX 79605
Phone (325) 793-3400

4545 Hartford St
Abilene, TX 79605
Phone (325) 698-4545

3001 S Jackson St
Ste 209
San Angelo, TX 76904
Phone (325) 223-6360

3001 S Jackson St
San Angelo, TX 76904
Phone (325) 223-6300

Organizations & group practices 3

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": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1871784207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 HARTFORD ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054603",
            "telephone_number": "325-793-3411",
            "fax_number": "325-793-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S JACKSON ST",
            "address_2": "SUITE 209",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045129",
            "telephone_number": "325-223-6360",
            "fax_number": "325-223-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLEBROOKS",
        "first_name": "ANGELA",
        "middle_name": "KAY",
        "credential": "AU.D.,CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "80462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.