Kelly Sammis Yancey, AUD/CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

80343 Issued in TX

Practice address

11307 FM 1960 Rd W
Ste 260
Houston, TX 77065-3687

Phone

(832) 604-3636

Fax

(919) 439-3048

NPI assigned

Jul 12, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gary W. Elam, MD, PA

  • Otolaryngology Physician
  • Odessa, TX
  • NPI 1255421152
  NPD (past)

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1093003097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11307 FM 1960 RD W",
            "address_2": "STE 260",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653687",
            "telephone_number": "832-604-3636",
            "fax_number": "919-439-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11307 FM 1960 RD W",
            "address_2": "STE 260",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653687",
            "telephone_number": "832-604-3636",
            "fax_number": "919-439-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANCEY",
        "first_name": "KELLY",
        "middle_name": "SAMMIS",
        "name_prefix": "Mrs.",
        "credential": "AUD/CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGY LICENSE",
            "identifier": "80343",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Yan, MD
• Peisha Yan, M.D.
• Sheng Yan, APRN
• Shunshun Yan
• Lily Yanacek, LVN
• Zaineth Maria Yancey, MD
• Shannon Elizabeth Yancovich, MD
• Briana Nicole Yancy, MOT, OTR/L
• Consuela Yancy, RPH
• Courtney Anne Yancy, M.S., CCC-SLP

• Audiologist in Houston, TX
• Providers in Houston, TX by specialty
• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.