Organization Active NPI

Family Audiology

  • Audiologist-Hearing Aid Fitter
  • Plano, TX
National Provider Identifier
1073709051
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
51713 Issued in TX
Legal business name
FAMILY AUDIOLOGY
Practice address
4105 W Spring Creek Pkwy Ste 702
Plano, TX 75024-5301
Phone
(972) 943-0466
Fax
(972) 599-1707
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Authorized official

Name
Dr. Celia McCormick, AU.D.NPI 1366415101
Title
President/Audiologist
Phone
(972) 943-0466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X 51713 TX Primary

Addresses

Primary practice location

4105 W Spring Creek Pkwy Ste 702
Plano, TX 75024-5301

Mailing address

4105 W Spring Creek Pkwy Ste 702
Plano, TX 75024-5301
Phone (972) 943-0466

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051130000480 TX Part B Supplier - Clinic/Group Practice 1254351646 Receives reassigned benefits from 2 practitioners
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

4105 W Spring Creek Pkwy
Ste 702
Plano, TX 75024
Phone (972) 943-0466

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1073709051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 W SPRING CREEK PKWY STE 702",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245301",
            "telephone_number": "972-943-0466",
            "fax_number": "972-599-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 W SPRING CREEK PKWY STE 702",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245301",
            "telephone_number": "972-943-0466",
            "fax_number": "972-599-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AUDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "PRESIDENT/AUDIOLOGIST",
        "authorized_official_telephone_number": "972-943-0466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "51713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.