Individual provider Active NPI

Elizabeth Ann Carson, M. S.

  • Audiologist
  • Waco, TX
National Provider Identifier
1013109875
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
50989 Issued in TX
Practice address
611 W State Highway 6 Ste 113
Waco, TX 76710-7545
Phone
(254) 878-4040
Fax
(469) 673-2866
NPI assigned
Aug 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 50989 TX
Audiologist 231H00000X 50989 TX Primary

Addresses

Primary practice location

611 W State Highway 6 Ste 113
Waco, TX 76710-7545

Mailing address

611 W State Highway 6 Ste 113
Waco, TX 76710-7545
Phone (254) 878-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091021000148 TX Practitioner - Qualified Audiologist 7416094636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waco Hearing Center PLLCGroup PAC ID 1850784109, 2 clinicians

Practice addresses (Care Compare)

611 W State Hwy 6
Suite 113
Waco, TX 76710-7545
Phone (254) 878-4040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Waco Hearing Center PLLC Audiologist CurrentSince Dec 18, 2023 Accepting new patients
Scott & White Hospital - Taylor PastSince Dec 1, 2015 Accepting new patients
Mefl, LLC Past Accepting new patients

Locations

611 W State Highway 6
Ste 113
Waco, TX 76710
Phone (254) 878-4040

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1013109875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W STATE HIGHWAY 6 STE 113",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107545",
            "telephone_number": "254-878-4040",
            "fax_number": "469-673-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W STATE HIGHWAY 6 STE 113",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107545",
            "telephone_number": "254-878-4040",
            "fax_number": "469-673-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M. S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "50989",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "50989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.