Individual provider Active NPI

Cheryl Wolters, M.S., CCC-A

  • Audiologist
  • North Richland Hills, TX
National Provider Identifier
1164815551
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
50709 Issued in TX
Practice address
4351 Booth Calloway Rd
Suite 308
North Richland Hills, TX 76180-7378
Phone
(817) 595-3700
Fax
(817) 595-3701
NPI assigned
Mar 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 50709 TX Primary

Addresses

Primary practice location

4351 Booth Calloway Rd
Suite 308
North Richland Hills, TX 76180-7378

Mailing address

4351 Booth Calloway Rd
Suite 308
North Richland Hills, TX 76180-7378
Phone (817) 595-3700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150508002108 TX Practitioner - Qualified Audiologist 9537488762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Care PLLCGroup PAC ID 7214840867, 363 clinicians

Practice addresses (Care Compare)

6320 Southwest Blvd
Suite 200
Benbrook, TX 76109-6961
Phone (817) 766-5500

6700 Buenos Aires Dr
N Richland Hills, TX 76180-6566
Phone (817) 281-8245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
50709TXMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Care, P.L.L.C. CurrentSince Sep 21, 2024 Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Sep 21, 2024 Accepting new patients
Texas Health Care, P.L.L.C. Current Accepting new patients

Locations

6320 Southwest Blvd
Ste 200
Benbrook, TX 76109
Phone (817) 766-5500

6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245

2821 George Bush Hwy
Richardson, TX 75082
Phone (972) 231-9361

2821 George Bush Hwy
Ste 210
Richardson, TX 75082
Phone (972) 231-9361

Interoperability endpoints

  • Direct secure messaging: cheryl.wolters.p1@direct.thc.nextgenshare.com

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": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1164815551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 BOOTH CALLOWAY RD",
            "address_2": "SUITE 308",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761807378",
            "telephone_number": "817-595-3700",
            "fax_number": "817-595-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 BOOTH CALLOWAY RD",
            "address_2": "SUITE 308",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761807378",
            "telephone_number": "817-595-3700",
            "fax_number": "817-595-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLTERS",
        "first_name": "CHERYL",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "50709",
            "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 10, 2015; 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.