Individual provider Active NPI

Judith Ann Caudle, AU.D.

  • Audiologist
  • Denton, TX
National Provider Identifier
1043215551
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
50788 Issued in TX
Practice address
2540 Lillian Miller Pkwy
Suite 100
Denton, TX 76210-7214
Phone
(940) 387-0550
Fax
(940) 387-0663
NPI assigned
Jun 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 50788 TX Primary
Audiologist-Hearing Aid Fitter 237600000X 90409 TX

Addresses

Primary practice location

2540 Lillian Miller Pkwy
Suite 100
Denton, TX 76210-7214

Mailing address

2540 Lillian Miller Pkwy
Suite 100
Denton, TX 76210-7214
Phone (940) 387-0550

Other identifiers 1

IdentifierTypeStateIssuer
086951301MedicaidTX

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

State licenses

LicenseStateTypeSpecialty
50788TXMDPharmacist
90409TXMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1043215551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 LILLIAN MILLER PKWY",
            "address_2": "SUITE 100",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762107214",
            "telephone_number": "940-387-0550",
            "fax_number": "940-387-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 LILLIAN MILLER PKWY",
            "address_2": "SUITE 100",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762107214",
            "telephone_number": "940-387-0550",
            "fax_number": "940-387-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDLE",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "50788",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "90409",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086951301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.