Organization Active NPI

Lisa a Pulsipher Aud LLC

Doing business as East Mountain Hearing & Balance

  • Audiologist
  • Albuquerque, NM
National Provider Identifier
1992191100
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
5267 Issued in NM
Legal business name
LISA A PULSIPHER AUD LLC
Doing business as
East Mountain Hearing & Balance
Practice address
7007 Wyoming Blvd NE Ste B4
Albuquerque, NM 87109-3982
Phone
(505) 217-0912
Fax
(505) 217-0913
NPI assigned
Apr 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
Dr. Lisa Ann Pulsipher, AU.D.
Title
Managing Member
Phone
(505) 217-0912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 5267 NM Primary

Addresses

Primary practice location

7007 Wyoming Blvd NE Ste B4
Albuquerque, NM 87109-3982

Mailing address

7007 Wyoming Blvd NE Ste B4
Albuquerque, NM 87109-3982
Phone (505) 217-0912

Other identifiers 2

IdentifierTypeStateIssuer
95130039MedicaidNM
1104179423OtherNMPROVIDER NPI

Other names 1

  • East Mountain Hearing & Balance Doing business as

National Provider Directory

National Provider Directory

Locations

7007 Wyoming Blvd NE
#4E
Albuquerque, NM 87109
Phone (505) 217-0912

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1992191100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 WYOMING BLVD NE STE B4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093982",
            "telephone_number": "505-217-0912",
            "fax_number": "505-217-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 WYOMING BLVD NE STE B4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093982",
            "telephone_number": "505-217-0912",
            "fax_number": "505-217-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA A PULSIPHER AUD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "PULSIPHER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "505-217-0912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "NM",
            "license": "5267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95130039",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1104179423",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Mountain Hearing & Balance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.