Individual provider Active NPI

Danielle Alaina Jorgenson, AUD

  • Audiologist
  • Austin, TX
National Provider Identifier
1104599273
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
81451 Issued in TX
Practice address
720 W 34TH St Ste 110
Austin, TX 78705-1202
Phone
(512) 346-7600
Fax
(512) 346-7603
NPI assigned
Jul 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 81451 TX Primary

Addresses

Primary practice location

720 W 34TH St Ste 110
Austin, TX 78705-1202

Mailing address

720 W 34TH St Ste 110
Austin, TX 78705-1202
Phone (512) 346-7600

Other practice location 1

1401 Medical Parkway
Bldg B, Ste 307
Cedar Park, TX 78613
Phone (512) 354-1489

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220420003051 TX Practitioner - Qualified Audiologist 0840687810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Specialists of Austin PAGroup PAC ID 2961595533, 9 clinicians

Practice addresses (Care Compare)

720 W 34TH St
Suite 110
Austin, TX 78705-1202
Phone (512) 346-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81451TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Specialists of Austin PA CurrentSince Feb 14, 2022 Accepting new patients
ENT Specialists of Austin PA CurrentSince Feb 14, 2022 Accepting new patients

Locations

720 W 34th St
Ste 110
Austin, TX 78705
Phone (512) 346-7600

1401 Medical Pkwy
Ste 307
Cedar Park, TX 78613
Phone (512) 346-7600

Organizations & group practices 2

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": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1104599273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W 34TH ST STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051202",
            "telephone_number": "512-346-7600",
            "fax_number": "512-346-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W 34TH ST STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051202",
            "telephone_number": "512-346-7600",
            "fax_number": "512-346-7603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Medical Parkway",
            "address_2": "Bldg B, Ste 307",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "78613",
            "country_code": "US",
            "telephone_number": "512-354-1489",
            "fax_number": "512-886-6166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORGENSON",
        "first_name": "DANIELLE",
        "middle_name": "ALAINA",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.