Active NPI
Devin Collett
- Audiologist
- San Marcos, TX
National Provider Identifier
1134747934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 81124
- Practice address
- 1340 Wonder World Dr Ste 4301
San Marcos, TX 78666-7695 - Phone
- (855) 547-8369
- NPI assigned
- Jul 8, 2020
- 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 | 81124 | TX | Primary |
Addresses
Primary practice location
1340 Wonder World Dr Ste 4301
San Marcos, TX 78666-7695
Mailing address
501 E Oltorf St Apt 227
Austin, TX 78704-5625
Phone (630) 390-5150
Other practice location 1
2220 Lakeway Blvd Ste 120
Lakeway, TX 78734-5136
Phone (855) 547-8369
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 |
|---|---|---|---|
| 81124 | TX | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594166400000",
"number": "1134747934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 E OLTORF ST APT 227",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787045625",
"telephone_number": "630-390-5150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 WONDER WORLD DR STE 4301",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786667695",
"telephone_number": "855-547-8369"
}
],
"practiceLocations": [
{
"address_1": "2220 Lakeway Blvd Ste 120",
"address_purpose": "LOCATION",
"city": "Lakeway",
"state": "TX",
"postal_code": "787345136",
"country_code": "US",
"telephone_number": "855-547-8369",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLETT",
"first_name": "DEVIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-08",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "81124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Marcos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.