Active NPI
Catherine Theresa Back, AU.D.
- Audiologist
- Amarillo, TX
National Provider Identifier
1154420305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 51381
- Practice address
- 6010 Amarillo Blvd West
VA Audiology Clinic (126)
Amarillo, TX 79106 - Phone
- (806) 355-9703
- NPI assigned
- Sep 22, 2006
- Last updated
- Dec 7, 2016
- 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 | 51381 | TX | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 51381 | TX |
Addresses
Primary practice location
6010 Amarillo Blvd West
VA Audiology Clinic (126)
Amarillo, TX 79106
Mailing address
6010 Amarillo Blvd West
VA Audiology Clinic (126)
Amarillo, TX 79106
Phone (806) 355-9703
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51381 | TX | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481068800000",
"number": "1154420305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6010 AMARILLO BLVD WEST",
"address_2": "VA AUDIOLOGY CLINIC (126)",
"city": "AMARILLO",
"state": "TX",
"postal_code": "79106",
"telephone_number": "806-355-9703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6010 AMARILLO BLVD WEST",
"address_2": "VA AUDIOLOGY CLINIC (126)",
"city": "AMARILLO",
"state": "TX",
"postal_code": "79106",
"telephone_number": "806-355-9703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACK",
"first_name": "CATHERINE",
"middle_name": "THERESA",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2016-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "51381",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TX",
"license": "51381",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.