Individual provider Active NPI

Brenda Fields Cross, AU.D., CCC-A

  • Audiologist
  • Amarillo, TX
National Provider Identifier
1154499762
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
60533 Issued in TX
Practice address
720 S Tyler St
Amarillo, TX 79101-2313
Phone
(806) 651-5101
Fax
(806) 651-5105
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 60533 TX Primary

Addresses

Primary practice location

720 S Tyler St
Amarillo, TX 79101-2313

Mailing address

Box 60757
Canyon, TX 79016-0001
Phone (806) 651-5101

Other names 1

  • Brenda Dian Fields Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091204000493 TX Practitioner - Qualified Audiologist 7517006430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Texas Tech University Health Science Center School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Texas a and M UniversityGroup PAC ID 5092771618, 4 clinicians

Practice addresses (Care Compare)

2501 4TH Ave
Canyon, TX 79016-0001
Phone (806) 651-5108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas a & M University CurrentSince Aug 1, 2012 Accepting new patients
West Texas a&M University CurrentSince Aug 1, 2012 Accepting new patients
West Texas a&M University Student Medical Services Past Accepting new patients

Locations

4400 S Washington St
Ste 107
Amarillo, TX 79110
Phone (806) 355-5721

720 S Tyler St
Amarillo, TX 79101
Phone (806) 651-5101

2501 4th Ave
Canyon, TX 79016
Phone (806) 651-5101

60757 Wtamu Box
Canyon, TX 79016

Organizations & group practices 3

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1154499762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 60757",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790160001",
            "telephone_number": "806-651-5101",
            "fax_number": "806-651-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S TYLER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791012313",
            "telephone_number": "806-651-5101",
            "fax_number": "806-651-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "BRENDA",
        "middle_name": "FIELDS",
        "name_prefix": "Mrs.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "60533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "FIELDS",
            "middle_name": "DIAN",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 14, 2020; 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.