Individual provider Active NPI

Terri Jo Edwards, AU.D.

  • Audiologist
  • Weatherford, TX
National Provider Identifier
1205097128
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
51498 Issued in TX
Practice address
150 Willow Creek Dr Ste 105
Weatherford, TX 76085-3652
Phone
(817) 550-6115
Fax
(866) 358-6404
NPI assigned
Jun 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 51498 TX
Audiologist 231H00000X 51498 TX Primary

Addresses

Primary practice location

150 Willow Creek Dr Ste 105
Weatherford, TX 76085-3652

Mailing address

150 Willow Creek Dr Ste 105
Weatherford, TX 76085-3652
Phone (817) 550-6115

Other practice location 1

4425 East Hwy 377
Ste 106
Granbury, TX 76049
Phone (817) 550-6115

Other identifiers 1

IdentifierTypeStateIssuer
280916203MedicaidTX

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
51498TXMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
New Sound Solutions PA Audiologist CurrentSince Aug 1, 2012 Accepting new patients

Locations

4425 E US Highway 377
Ste 106
Granbury, TX 76049
Phone (817) 550-6115

150 Willow Creek Dr
Ste 105
Weatherford, TX 76085
Phone (817) 550-5058

150 Willow Creek Dr
Ste 103
Weatherford, TX 76085
Phone (817) 550-6115

Organizations & group practices 1

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": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1205097128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WILLOW CREEK DR STE 105",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760853652",
            "telephone_number": "817-550-6115",
            "fax_number": "866-358-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WILLOW CREEK DR STE 105",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760853652",
            "telephone_number": "817-550-6115",
            "fax_number": "866-358-6404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4425 EAST HWY 377",
            "address_2": "STE 106",
            "address_purpose": "LOCATION",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "76049",
            "country_code": "US",
            "telephone_number": "817-550-6115",
            "fax_number": "866-358-6404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "TERRI",
        "middle_name": "JO",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "51498",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280916203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.