MEDICARE: JON DRAKE AUD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237600000X	Audiologist-Hearing Aid Fitter	80582	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124337803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JON DRAKE AUD

Provider Business Mailing Address
First Line	:	701 OAKLAND HILLS LN
Second Line	:
City	:	KERRVILLE
State	:	TX
Zip	:	78028-6429
Country	:	US
Telephone Number	:	830-385-2034
Fax Number	:

Provider Business Practice Location Address
First Line	:	7001 PROSPECT PL NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-4311
Country	:	US
Telephone Number	:	505-764-0036
Fax Number	:	505-764-0446

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2010
Last Update Date	:	01/23/2020

Similar Medicare Providers

1215525902 — AUGUST VOJDANI PA-C
Practice Location Address:

4588 PARADISE BLVD NW , MEDICARE ADVANTAGE CLINIC
ALBUQUERQUE, NM
87114-4105

Practice Phone: 505-998-1840
Practice Fax: 505-998-1841

1851434138 — HIGH DESERT FAMILY SERVICES, INC.
Practice Location Address:

7001 PROSPECT PL NE
ALBUQUERQUE, NM
87110-4311

Practice Phone: 505-823-4530
Practice Fax: 505-797-3956

1598889552 — LAMARR D. EDGERSON LMFT
Practice Location Address:

7001 PROSPECT PL NE
ALBUQUERQUE, NM
87110-4311

Practice Phone: 505-629-1590
Practice Fax:

1215267893 — CYDNEY DIANE CAMPBELL MA, LMHC, NCC
Practice Location Address:

7001 PROSPECT PL NE , SUITE A
ALBUQUERQUE, NM
87110-4311

Practice Phone: 505-823-4530
Practice Fax:

1073123063 — MR. WASAN CARTWRIGHT JR. FNP-BC
Practice Location Address:

7005 PROSPECT PL NE
ALBUQUERQUE, NM
87110-4311

Practice Phone: 505-361-2634
Practice Fax: 505-503-1277

1104401538 — TAYLOR PAGLIA LMHC
Practice Location Address:

7005 PROSPECT PL NE
ALBUQUERQUE, NM
87110-4311

Practice Phone: 505-361-2634
Practice Fax:

Directions to “ JON DRAKE AUD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.