Active NPI
Allison P. Kennedy, M.A., CCC/A
- Audiologist
- Frisco, TX
National Provider Identifier
1003003112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 51608
- Practice address
- 5575 Warren Pkwy
#104
Frisco, TX 75034-4062 - Phone
- (469) 633-9595
- Fax
- (469) 633-9460
- NPI assigned
- Oct 2, 2007
- 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 | 51608 | TX | Primary |
Addresses
Primary practice location
5575 Warren Pkwy
#104
Frisco, TX 75034-4062
Mailing address
5575 Warren Pkwy
#104
Frisco, TX 75034-4062
Phone (469) 633-9595
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 |
|---|---|---|---|
| 51608 | TX | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1003003112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5575 WARREN PKWY",
"address_2": "#104",
"city": "FRISCO",
"state": "TX",
"postal_code": "750344062",
"telephone_number": "469-633-9595",
"fax_number": "469-633-9460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5575 WARREN PKWY",
"address_2": "#104",
"city": "FRISCO",
"state": "TX",
"postal_code": "750344062",
"telephone_number": "469-633-9595",
"fax_number": "469-633-9460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "ALLISON",
"middle_name": "P.",
"name_prefix": "Mrs.",
"credential": "M.A., CCC/A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-02",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "51608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.