Active NPI
Rebecca Fogel, AUDIOLOGIST
- Audiologist
- Garland, TX
National Provider Identifier
1104835339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 80206
- Practice address
- 7150 N. Pres. George Bush Hwy
Ste. 202
Garland, TX 75044 - Phone
- (972) 414-0408
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 80206 | TX | Primary |
Addresses
Primary practice location
7150 N. Pres. George Bush Hwy
Ste. 202
Garland, TX 75044
Mailing address
7150 N. Pres. George Bush Hwy
Ste. 202
Garland, TX 75044
Phone (972) 414-0408
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205689701 | Medicaid | TX | |
| 1470006471 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80206 | TX | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matt Sloan MD PLLC | Past | Accepting new patients | |
| Lawrence S. Weprin | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263168000000",
"number": "1104835339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7150 N. PRES. GEORGE BUSH HWY",
"address_2": "STE. 202",
"city": "GARLAND",
"state": "TX",
"postal_code": "75044",
"telephone_number": "972-414-0408",
"fax_number": "972-495-9084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7150 N. PRES. GEORGE BUSH HWY",
"address_2": "STE. 202",
"city": "GARLAND",
"state": "TX",
"postal_code": "75044",
"telephone_number": "972-414-0408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOGEL",
"first_name": "REBECCA",
"name_prefix": "Ms.",
"credential": "AUDIOLOGIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2010-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "80206",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205689701",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1470006471",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.