Individual provider Active NPI

Erin Elizabeth Washburn, AUDIOLOGIST

  • Audiologist
  • Burleson, TX
National Provider Identifier
1013318179
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
121 NW Ellison St Ste 101
Burleson, TX 76028-4782
Phone
(817) 592-9632
NPI assigned
Sep 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 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
Audiologist 231H00000X Primary

Addresses

Primary practice location

121 NW Ellison St Ste 101
Burleson, TX 76028-4782

Mailing address

3450 W Wheatland Rd
Pav II Ste#443
Dallas, TX 75237-3470
Phone (972) 572-3300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141112000248 TX Practitioner - Qualified Audiologist 7911129739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burleson Audiology Clinic PLLCGroup PAC ID 2466880760, 2 clinicians

Practice addresses (Care Compare)

121 NW Ellison St
Suite 101
Burleson, TX 76028-4782
Phone (817) 764-3077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80709TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Burleson Audiology Clinic PLLC Audiologist-Hearing Aid Fitter CurrentSince Jun 17, 2024 Accepting new patients

Locations

121 NW Ellison St
Ste 101
Burleson, TX 76028
Phone (817) 592-9632

Organizations & group practices 1

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": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1013318179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 W WHEATLAND RD",
            "address_2": "PAV II STE#443",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373470",
            "telephone_number": "972-572-3300",
            "fax_number": "972-572-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 NW ELLISON ST STE 101",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284782",
            "telephone_number": "817-592-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHBURN",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "credential": "AUDIOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.