Active NPI
Jackson W Rainwater, BBA
- Audiologist-Hearing Aid Fitter
- Weslaco, TX
National Provider Identifier
1902838212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 50195
- Practice address
- 406 S Nebraska Ave
Weslaco, TX 78596-6024 - Phone
- (956) 968-6131
- Fax
- (956) 968-1807
- NPI assigned
- Jul 7, 2006
- Last updated
- Jan 2, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 50195 | TX | Primary |
| Hearing Instrument Specialist | 237700000X | 50195 | TX |
Addresses
Primary practice location
406 S Nebraska Ave
Weslaco, TX 78596-6024
Mailing address
406 S Nebraska Ave
Weslaco, TX 78596-6024
Phone (956) 968-6131
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1127755-03 | Medicaid | TX | |
| 516433 | Other | TX | BCBS PROVIDER NUMBER |
| 1127755-02 | Medicaid | TX | |
| 1127755-01 | Medicaid | TX | |
| 3599474-02 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50195 | TX | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing AIDS, Inc. | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Audiologist-Hearing Aid Fitter
- Weslaco, TX
- NPI 1689023699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1902838212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 S NEBRASKA AVE",
"city": "WESLACO",
"state": "TX",
"postal_code": "785966024",
"telephone_number": "956-968-6131",
"fax_number": "956-968-1807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 S NEBRASKA AVE",
"city": "WESLACO",
"state": "TX",
"postal_code": "785966024",
"telephone_number": "956-968-6131",
"fax_number": "956-968-1807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINWATER",
"first_name": "JACKSON",
"middle_name": "W",
"credential": "BBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TX",
"license": "50195",
"primary": true
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "TX",
"license": "50195",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1127755-03",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "516433",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1127755-02",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1127755-01",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3599474-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weslaco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.