Individual provider Active NPI

Cristina Paola Reddy, AUD

  • Audiologist
  • Dallas, TX
National Provider Identifier
1093326647
Registry record updated Aug 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
81144 Issued in TX
Practice address
8325 Walnut Hill LN Ste 100
Dallas, TX 75231-4262
Phone
(214) 696-8900
NPI assigned
Aug 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 81144 TX Primary

Addresses

Primary practice location

8325 Walnut Hill LN Ste 100
Dallas, TX 75231-4262

Mailing address

4213 Plumbago Dr
Denton, TX 76208-7322
Phone (469) 951-9925

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201106002482 TX Practitioner - Qualified Audiologist 9537579271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Hearing Practice PLLCGroup PAC ID 4486954567, 4 clinicians

Practice addresses (Care Compare)

4491 Long Prairie Rd
Suite 400
Flower Mound, TX 75028-1795
Phone (817) 997-4084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81144TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Hearing Practice, PLLC Single Specialty CurrentSince Oct 1, 2020 Accepting new patients
Parkhill Physician Group, PLLC Single Specialty PastSince Aug 23, 2020 Accepting new patients
Pediatric ENT Associates PastSince Aug 23, 2020 Accepting new patients

Organizations & group practices 3

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": "1597536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597536000000",
    "number": "1093326647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4213 PLUMBAGO DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762087322",
            "telephone_number": "469-951-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 WALNUT HILL LN STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314262",
            "telephone_number": "214-696-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "CRISTINA",
        "middle_name": "PAOLA",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-16",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; 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.