Janice Leigh Richbourg, AUD, CCC/A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

51568 Issued in TX

Practice address

1136 E Grande Blvd
Tyler, TX 75703-3982

Phone

(903) 592-3666

Fax

(903) 595-3304

NPI assigned

Mar 19, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Janice Leigh Hart Former name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Qualified Audiologist

Education

Texas Tech University Health Science Center School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Warrior Hearing Center of Smithville, LLC

  • Audiologist
  • Smithville, MO
  • NPI 1437747060
  Medicare reassignment NPD Authorized official
• Warrior Auditory Processing Therapy, LLC

  • Audiologist
  • Smithville, MO
  • NPI 1295503134
  NPD Authorized official

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962673806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 E GRANDE BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033982",
            "telephone_number": "903-592-3666",
            "fax_number": "903-595-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 E GRANDE BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033982",
            "telephone_number": "903-592-3666",
            "fax_number": "903-595-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHBOURG",
        "first_name": "JANICE",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "AUD, CCC/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "51568",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANICE",
            "last_name": "HART",
            "middle_name": "LEIGH",
            "prefix": "DR.",
            "credential": "AU.D., CCC/A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christine Richardson
• Emily Richardson
• Joanna Richardson, LPC
• Mackenzie Richardson
• Shawnic Richardson
• Mary Richey, MSN, APRN, PMHNP-BC
• Toni Richey, CNM
• Rebecca Richter
• Kevin Ridad
• Angela Riddle

• Audiologist in Tyler, TX
• Providers in Tyler, TX by specialty
• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.