Marla B Pennell, AUD CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

50953 Issued in TX

Practice address

100 River Hills Dr Ste 105
Georgetown, TX 78628-3682

Phone

(512) 763-8855

Fax

(830) 240-5780

NPI assigned

Jun 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Group practices

Waterloo Audiology PLLCGroup PAC ID 5395111074, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Waterloo Audiology PLLC

  • Audiologist
  • Seguin, TX
  • NPI 1831812353
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1174559017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIVER HILLS DR STE 105",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283682",
            "telephone_number": "512-763-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIVER HILLS DR STE 105",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283682",
            "telephone_number": "512-763-8855",
            "fax_number": "830-240-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNELL",
        "first_name": "MARLA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "AUD CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "50953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel B Pegram, MD
• Jacobo Pena, M.D.
• Jessica Michelle Pena, PTA
• Samantha Pena, LMFT
• Xin Peng
• Jay Burton Pennington, M.D.
• Monique Suzanne Pepin, MSW, LCSW
• Peregrine Ventures, LLC
• Chrishanthi Perera, M.D.
• Danny Perkins

• Audiologist in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.