Active NPI
Juliana H Cormack, MA, CCC-A
- Audiologist
- Norman, OK
National Provider Identifier
1063690725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 309
- Practice address
- 1322 N Interstate Dr
Norman, OK 73072-3393 - Phone
- (405) 307-0670
- Fax
- (405) 307-0679
- NPI assigned
- Feb 5, 2008
- Last updated
- Oct 10, 2012
- 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 | 309 | OK | Primary |
Addresses
Primary practice location
1322 N Interstate Dr
Norman, OK 73072-3393
Mailing address
1322 N Interstate Dr
Norman, OK 73072-3393
Phone (405) 307-0670
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kris Watson & Associates Inc | Audiologist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349827200000",
"number": "1063690725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1322 N INTERSTATE DR",
"city": "NORMAN",
"state": "OK",
"postal_code": "730723393",
"telephone_number": "405-307-0670",
"fax_number": "405-307-0679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1322 N INTERSTATE DR",
"city": "NORMAN",
"state": "OK",
"postal_code": "730723393",
"telephone_number": "405-307-0670",
"fax_number": "405-307-0679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORMACK",
"first_name": "JULIANA",
"middle_name": "H",
"name_prefix": "Mrs.",
"credential": "MA, CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-05",
"last_updated": "2012-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OK",
"license": "309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.