Active NPI
Mary Catherine Kelly, AUD
- Audiologist
- North Richland Hills, TX
National Provider Identifier
1114294196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 81201
- Practice address
- 6375 NE Loop 820
North Richland Hills, TX 76180-6035 - Phone
- (817) 770-8166
- NPI assigned
- Nov 19, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1110A | AL | |
| Audiologist | 231H00000X | 81201 | TX | Primary |
Addresses
Primary practice location
6375 NE Loop 820
North Richland Hills, TX 76180-6035
Mailing address
6375 NE Loop 820
North Richland Hills, TX 76180-6035
Phone (817) 770-8166
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 |
|---|---|---|---|
| 1110A | AL | MD | Audiologist |
| 81201 | TX | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709856000000",
"number": "1114294196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6375 NE LOOP 820",
"city": "NORTH RICHLAND HILLS",
"state": "TX",
"postal_code": "761806035",
"telephone_number": "817-770-8166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6375 NE LOOP 820",
"city": "NORTH RICHLAND HILLS",
"state": "TX",
"postal_code": "761806035",
"telephone_number": "817-770-8166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "MARY",
"middle_name": "CATHERINE",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-19",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AL",
"license": "1110A",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "81201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Richland Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.