Cathleen M Reigle, AUD CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

80547 Issued in TX

Practice address

1919 8TH Ave
Fort Worth, TX 76110-1358

Phone

(682) 885-4063

Fax

(682) 885-1878

NPI assigned

Apr 21, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Cathleen M Brueckner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Northern Lights Clinic SC

  • Otolaryngology Physician
  • Marinette, WI
  • NPI 1033155924
  NPD (past)

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1184868127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99213",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761990213",
            "telephone_number": "682-885-3622",
            "fax_number": "682-885-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101358",
            "telephone_number": "682-885-4063",
            "fax_number": "682-885-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIGLE",
        "first_name": "CATHLEEN",
        "middle_name": "M",
        "credential": "AUD CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WI",
            "license": "535-156",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324907002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324907003/HA1",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324907001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324907004/HA1 CSN",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHLEEN",
            "last_name": "BRUECKNER",
            "middle_name": "M",
            "credential": "AUD CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kenzie Reich, APRN, AGCNS-BC
• Alan Brandon Reid, MS, ATC, LAT, PES
• Julia Reid
• Whitaker Chamblin Reid
• Rachelle K Reiersgord, CRNA
• Brittany Reiling
• Susan Elizabeth Reinarz, RNC, MSN, NNP
• William G Reiner, MD
• Melissa Reinert, LAT
• Travis J. Reinke, CRNA

• Audiologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.

Verify at the official NPI Registry.