MR. WESLEY D OTTO (NPI# 1811537483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811537483 |
| Entity Type | Individual |
| Full Name | MR. WESLEY D OTTO |
| Credential | RN |
| Practice Address |
2821 74th St Lubbock TX 79423-1437 |
| Practice Telephone | 8067457878 |
| Mailing Telephone | 8067457878 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 80926 | TX | Speech, Language and Hearing Service Providers |
| Street Address |
2821 74TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79423-1437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639256746 | Randall Neil King | Hearing Instrument Specialist | 2821 74th St, Lubbock, TX 79423-1437 | 2006-11-01 |
| 1134473614 | Randall King | Audiologist-Hearing Aid Fitter | 2821 74th St, Lubbock, TX 79423-1437 | 2012-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674399 | Nicole Lynn Rosteski | Student in an Organized Health Care Education/Training Program | 3101 96th St, Lubbock, TX 79423 | 2020-06-17 |
| 1003399742 | Patricia Marshel Price | Licensed Vocational Nurse | 1520 B 82nd, Lubbock, TX 79423 | 2018-09-10 |
| 1386123115 | Ashley Nichole Avalos | Licensed Vocational Nurse | 19109 County Road 2400, Lubbock, TX 79423 | 2018-08-13 |
| 1407380587 | Karmen Adkins Neal | Counselor | 2574 74th Street, Suite 213, Lubbock, TX 79423 | 2017-04-17 |
| 1275992570 | Wal-mart Stores Texas, LLC | Technician/Technologist | 11415 Quaker Avenue, Lubbock, TX 79423 | 2016-02-15 |
| 1942679535 | Shena Smith | Psychologist | 2034 82nd St Unit 103, Lubbock, TX 79423 | 2015-09-24 |
| 1306263058 | Shelley Lee Ma, Lpc, PC | Counselor | 8200 Nahville, Suite 208, Lubbock, TX 79423 | 2014-03-19 |
| 1275893489 | Stacie Lynn Neffendorf | Speech-Language Pathologist | 3417 73rd St Ste N, Lubbock, TX 79423 | 2012-05-22 |
| 1932467230 | Debbie D Hearn | Point of Service | 8200 Nashville Ave. Suite #202, Lubbock, TX 79423 | 2012-04-25 |
| 1801163555 | Angel Laumbach-kirk | Occupational Therapist | 15304 County Road 2160, Lubbock, TX 79423 | 2011-11-23 |
| Find all providers in zip 79423 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639256746 | Randall Neil King | Hearing Instrument Specialist | 2821 74th St, Lubbock, TX 79423-1437 | 2006-11-01 |
| 1073046082 | Austin Rodgers | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-1817 | 2017-04-06 |
| 1598298598 | Maxie Quiles | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-1817 | 2017-04-06 |
| 1144751553 | Jerri Lively | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-1817 | 2017-03-27 |
| 1518408129 | Natasha Stevens | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-1817 | 2017-03-15 |
| 1790226330 | Shawn Clark | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-1817 | 2017-03-15 |
| 1790223782 | Bryan Beatty | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-1817 | 2017-02-09 |
| 1831632678 | Trevor Smith | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-1817 | 2016-11-28 |
| 1417402769 | Jason Johnson | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-1817 | 2016-08-16 |
| 1023461738 | Elizabeth Brown | Hearing Instrument Specialist | 5303 50th St, Lubbock, TX 79414-1817 | 2016-07-18 |
| Find all providers in LUBBOCK | ||||
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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.