Active NPI
Eileen L Goebel, M.A. CCC-A
- Audiologist
- Lubbock, TX
National Provider Identifier
1982621819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 47
- Practice address
- 5303 50TH St
Lubbock, TX 79414-5823 - Phone
- (860) 799-8950
- Fax
- (806) 792-9404
- NPI assigned
- Jul 16, 2006
- Last updated
- Aug 10, 2011
- 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 | 47 | CO | Primary |
Addresses
Primary practice location
5303 50TH St
Lubbock, TX 79414-5823
Mailing address
5303 50TH St
Lubbock, TX 79414-5823
Phone (806) 799-8950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11668587 | Other | NM | CAQH |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Animas Valley Audiology Associates LLC | Audiologist | Past | Accepting new patients |
| Jack Jordan Jones Enterprises | Past | Accepting new patients | |
| Animas Valley Audiology Associates LLC | Audiologist | Past | Accepting new patients |
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.
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- NPI 1467616573
-
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- NPI 1942893003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312934400000",
"number": "1982621819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5303 50TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794145823",
"telephone_number": "806-799-8950",
"fax_number": "806-799-8939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5303 50TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794145823",
"telephone_number": "860-799-8950",
"fax_number": "806-792-9404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOEBEL",
"first_name": "EILEEN",
"middle_name": "L",
"credential": "M.A. CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-16",
"last_updated": "2011-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CO",
"license": "47",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11668587",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.