Individual provider Active NPI

Elizabeth Eby, AU.D.

  • Audiologist
  • Oklahoma City, OK
National Provider Identifier
1972867026
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
3917 Issued in OK
Practice address
409 E California Ave
Oklahoma City, OK 73104-4224
Phone
(405) 841-7826
Fax
(405) 841-7927
NPI assigned
Jul 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 3917 OK Primary

Addresses

Primary practice location

409 E California Ave
Oklahoma City, OK 73104-4224

Mailing address

409 E California Ave
Oklahoma City, OK 73104-4224
Phone (405) 841-7826

Other identifiers 2

IdentifierTypeStateIssuer
14062084OtherOKAMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
3917OtherOKOKLAHOMA AUDIOLOGY LICENCE

Other names 1

  • Elizabeth Eby Professional name

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

LicenseStateTypeSpecialty
3917OKMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1972867026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E CALIFORNIA AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731044224",
            "telephone_number": "405-841-7826",
            "fax_number": "405-841-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E CALIFORNIA AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731044224",
            "telephone_number": "405-841-7826",
            "fax_number": "405-841-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBY",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OK",
            "license": "3917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION",
            "identifier": "14062084",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA AUDIOLOGY LICENCE",
            "identifier": "3917",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "EBY",
            "credential": "AU.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.