Individual provider Active NPI

Marjorie McKinley Houston, AUD

  • Audiologist
  • Escondido, CA
National Provider Identifier
1164552568
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU1217 Issued in CA
Practice address
325 W 3Rd Ave Ste 101
Escondido, CA 92025-4140
Phone
(760) 746-3474
Fax
(760) 746-3464
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU1217 CA Primary
Audiologist-Hearing Aid Fitter 237600000X HA2846 CA

Addresses

Primary practice location

325 W 3Rd Ave Ste 101
Escondido, CA 92025-4140

Mailing address

325 W 3Rd Ave Ste 101
Escondido, CA 92025-4140
Phone (760) 746-3474

Other identifiers 1

IdentifierTypeStateIssuer
AU0012170MedicaidCA

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

LicenseStateTypeSpecialty
1217CAMDCounselor
AU1217CAMDAudiologist
HA2846CAMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1164552568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W 3RD AVE STE 101",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254140",
            "telephone_number": "760-746-3474",
            "fax_number": "760-746-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W 3RD AVE STE 101",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254140",
            "telephone_number": "760-746-3474",
            "fax_number": "760-746-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSTON",
        "first_name": "MARJORIE",
        "middle_name": "MCKINLEY",
        "name_prefix": "Mrs.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU1217",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "HA2846",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU0012170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.