ANITA J PECKHAM (NPI# 1740289859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740289859 |
| Entity Type | Individual |
| Full Name | ANITA J PECKHAM |
| Credential | MS, CCC |
| Practice Address |
3502 9th St Suite 410 Lubbock TX 79415-3300 |
| Mailing Address |
3502 9th St 410 Lubbock TX 79415-3300 |
| Practice Telephone | 8067759305 |
| Practice Fax Number | 8067759302 |
| Mailing Telephone | 8067759305 |
| Mailing Fax Number | 8067759302 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2009-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237600000X | Audiologist-Hearing Aid Fitter | 51461 | TX | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 173071501 | 05 | |
| TX | BCBS TX PROVIDER NUMBER | 80365A | 01 |
| Street Address |
3502 9TH ST SUITE 410 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79415-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023000197 | Ronald L. Cook | Family Medicine | 3502 9th St, Suite 1c143, Lubbock, TX 79430-8143 | 2005-08-16 |
| 1700323045 | Courtney Michelle Arnold | Audiologist | 3502 9th St, Ste. 410, Lubbock, TX 79415-3300 | 2017-01-25 |
| 1497185458 | Kourtney Dunlap | Nurse Practitioner | 3502 9th St, Suite 430, Lubbock, TX 79415-3300 | 2013-11-12 |
| 1104163807 | Laura Durrett | Nurse Practitioner | 3502 9th St, Suite 170, Lubbock, TX 79415-3300 | 2013-01-15 |
| 1194060301 | Ashley Rochelle Hunter | Physician Assistant | 3502 9th St, Suite 110, Lubbock, TX 79415-3300 | 2012-11-29 |
| 1003150186 | Kevin Cole | Nurse Practitioner | 3502 9th St, Suite 430, Lubbock, TX 79415-3300 | 2012-11-15 |
| 1912255811 | Julie Owen | Physician Assistant | 3502 9th St, Suite 170, Lubbock, TX 79415-3300 | 2012-08-27 |
| 1699075960 | Autumn Beasley | Nurse Practitioner | 3502 9th St, Suite 360, Lubbock, TX 79415-3300 | 2010-11-02 |
| 1932439858 | Kashif Saleem | Family Medicine | 3502 9th St, Suite 110, Lubbock, TX 79415-3300 | 2009-12-29 |
| 1235465741 | Patricia R. Arledge, Md, Pllc | Plastic Surgery | 3502 9th St, Suite 270, Lubbock, TX 79415-3300 | 2009-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831569540 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3502 9th St Ste 280, Lubbock, TX 79415 | 2015-10-07 |
| 1922447457 | Fnu Parijat Kumar | Physical Therapist | 2717 3rd Street, Aptt 803, Lubbock, TX 79415 | 2013-06-18 |
| 1851575906 | Diego Rivera, M.d., P.a. | Family Medicine | 111 University Ave, Lubbock, TX 79415 | 2007-12-26 |
| 1730206632 | Kathleen Brinkman Felts | Physical Therapist | 3710 4th Street, Lubbock, TX 79415 | 2007-03-23 |
| 1568508521 | Horace Rueben Sharp Jr. | Optometrist | 1911 4th St, Lubbock, TX 79415 | 2007-01-29 |
| 1699876201 | Patricia R. Arledge | Plastic Surgery | 3502 9th St., Suite 270, Lubbock, TX 79415 | 2006-09-26 |
| 1245330018 | Perlita Molina Sambrano-tandoc | Nurse Practitioner | 602 East Indiana Avenue, Lubbock, TX 79415 | 2006-09-22 |
| 1639199862 | Justin Tidwell | Emergency Medicine | 604 Indiana, Lubbock, TX 79415 | 2006-07-20 |
| 1912944059 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3301 Clovis Road, Lubbock, TX 79415 | 2006-05-31 |
| 1497709265 | Byron Wayne Schoettle | Radiology | 602 Indiana Avenue, Lubbock, TX 79415 | 2006-05-19 |
| Find all providers in zip 79415 | ||||
| Taxonomy Code | 237600000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist-Hearing Aid Fitter |
| An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual’s hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists". |
| Notes: Source: American Academy of Audiology, 1735 N. Lynn St, Suite 950, Arlington VA 22209, (800)AAA-2336) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104097864 | A & A Audiology, PC | Audiologist-Hearing Aid Fitter | 7335 82nd St, Suite # 3, Lubbock, TX 79424-4972 | 2008-03-20 |
| 1871670281 | Julie Williams Hubik | Audiologist-Hearing Aid Fitter | 7202 Slide Rd Ste 300, Lubbock, TX 79424-2557 | 2006-11-01 |
| 1619427754 | Atlas Audiology Pllc | Audiologist-Hearing Aid Fitter | 4702 67th St, Ste A, Lubbock, TX 79414-5004 | 2016-10-13 |
| 1760866180 | Tammy Lopez | Audiologist-Hearing Aid Fitter | 5303 50th St, Lubbock, TX 79414-1817 | 2015-07-15 |
| 1134473614 | Randall King | Audiologist-Hearing Aid Fitter | 2821 74th St, Lubbock, TX 79423-1437 | 2012-11-05 |
| 1154634442 | Hillary Erin Taylor | Audiologist-Hearing Aid Fitter | 5303 50th St, Lubbock, TX 79414-5823 | 2010-07-15 |
| 1295961167 | Debra Dawn Fischenich | Audiologist-Hearing Aid Fitter | 5303 50th St, Lubbock, TX 79414-5823 | 2009-06-05 |
| 1437236841 | Cornerstone Audiology, Pllc | Audiologist-Hearing Aid Fitter | 7202 Slide Rd Ste 300, Lubbock, TX 79424-2557 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470677 | Lori Ann Frye | Audiologist-Hearing Aid Fitter | 7214 Fm 1488 Rd Ste 104, Magnolia, TX 77354-2762 | 2020-06-03 |
| 1043833767 | Maudi Alvarado- Robles | Audiologist-Hearing Aid Fitter | 1528 E Common St Ste 11, New Braunfels, TX 78130-3336 | 2020-05-28 |
| 1720608771 | Ha Audiometric Evalution Centers Usa LLC | Audiologist-Hearing Aid Fitter | 2020 E Expressway 83 Ste 2, Mercedes, TX 78570-9423 | 2020-04-20 |
| 1841819240 | Hearing Aid Express, Inc. | Audiologist-Hearing Aid Fitter | 900 8th St Ste 725, Wichita Falls, TX 76301-6808 | 2020-04-15 |
| 1568097558 | Jeronimo Pina | Audiologist-Hearing Aid Fitter | 1709 S 77 Sunshinestrip # A-2, Harlingen, TX 78550-8121 | 2020-03-10 |
| 1922656982 | Laredo Hearing Solutions, Pllc | Audiologist-Hearing Aid Fitter | 10414 Medical Loop # E2, Laredo, TX 78045-6612 | 2019-09-03 |
| 1174180681 | Rennae Pickert | Audiologist-Hearing Aid Fitter | 1800 N Travis St Ste D, Sherman, TX 75092-3769 | 2019-05-21 |
| 1396219515 | Metx, LLC | Audiologist-Hearing Aid Fitter | 102 Professional Pl Ste 102, Waxahachie, TX 75165-1432 | 2019-01-22 |
| 1750858445 | Clark Hearing, Inc | Audiologist-Hearing Aid Fitter | 33300 Egypt Ln Ste G200, Magnolia, TX 77354-7008 | 2018-10-31 |
| 1700369683 | Metx, LLC | Audiologist-Hearing Aid Fitter | 1009 Wal St Ste 105, Longview, TX 75605-7956 | 2018-09-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.