Rebecca Leeanne Kellogg, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

80138 Issued in TX

Practice address

245 W State Highway 114
Southlake, TX 76092-3637

Phone

(319) 393-2796

Fax

(319) 393-4782

NPI assigned

Aug 7, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hope Hearing & Tinnitus Center PLLC

  • Audiologist
  • Hiawatha, IA
  • NPI 1174241699
  Medicare reassignment NPD Authorized official
• Hope Hearing & Tinnitus Center Texas

  • Hearing and Speech Clinic/Center
  • Southlake, TX
  • NPI 1245117811
  NPD Authorized official
• Kos Danchak Audiology and Hearing AIDS LLC

  • Audiologist
  • Arlington, TX
  • NPI 1154451797
  NPD (past)

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1104057199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 BOYSON RD",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332313",
            "telephone_number": "319-393-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W STATE HIGHWAY 114",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760923637",
            "telephone_number": "319-393-2796",
            "fax_number": "319-393-4782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1727 Boyson Rd",
            "address_purpose": "LOCATION",
            "city": "Hiawatha",
            "state": "IA",
            "postal_code": "522332313",
            "country_code": "US",
            "telephone_number": "319-393-2796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLOGG",
        "first_name": "REBECCA",
        "middle_name": "LEEANNE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-07",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IA",
            "license": "093218",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "80138",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niranjan KC, PA-C
• Christina Ann Keils
• Jacqueline F Keish, PH.D
• Keller Premier Anesthesia, PLLC
• Justin Keller, PT, MPT, OCS, CSCS
• Kelly Cheatham Counseling
• Brooks Brenden Kelly, MD
• Madison Alysse Kemp, PMHNP-BC
• Kendall Care, LLC
• Keri Kay Kendall, PMHNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.