Active NPI
Sally E Muhlbach, AUD, CCC-A, FAAA
- Audiologist
- Lufkin, TX
National Provider Identifier
1902890734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 51152
- Practice address
- 609 E Lufkin Ave
Lufkin, TX 75901-4043 - Phone
- (936) 632-2252
- Fax
- (936) 632-0712
- NPI assigned
- Sep 8, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 51152 | TX | Primary |
Addresses
Primary practice location
609 E Lufkin Ave
Lufkin, TX 75901-4043
Mailing address
609 E Lufkin Ave
Lufkin, TX 75901-4043
Phone (936) 632-2252
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022388501 | Medicaid | TX | |
| 022388503 | Other | TX | MEDICAID-HEARING EVALUATION |
| 022388501 | Other | TX | MEDICAID-HEARING AID |
| 0A4522 | Other | TX | MEDICARE-GROUP |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51152 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280188800000",
"number": "1902890734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 E LUFKIN AVE",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759014043",
"telephone_number": "936-632-2252",
"fax_number": "936-632-0712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 E LUFKIN AVE",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759014043",
"telephone_number": "936-632-2252",
"fax_number": "936-632-0712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUHLBACH",
"first_name": "SALLY",
"middle_name": "E",
"credential": "AUD, CCC-A, FAAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-08",
"last_updated": "2010-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "51152",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022388501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID-HEARING EVALUATION",
"identifier": "022388503",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID-HEARING AID",
"identifier": "022388501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE-GROUP",
"identifier": "0A4522",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.