Active NPI
Alix Nicole Kornegay, AUD
- Audiologist
- The Woodlands, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 80858
- Practice address
- 17350 St Lukes Way Ste 115
The Woodlands, TX 77384-4103 - Phone
- (936) 273-4437
- Fax
- (936) 273-3279
- NPI assigned
- Jun 7, 2017
- Last updated
- Jun 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 80858 | TX | Primary |
Addresses
Primary practice location
17350 St Lukes Way Ste 115
The Woodlands, TX 77384-4103
Mailing address
11439 Spring Cypress Rd Unit B
Tomball, TX 77377-6513
Phone (936) 273-4437
Other names 1
- Alix Williamson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17350 St Lukes Way
Suite 115
The Woodlands, TX 77384-4100
Phone (936) 273-4437
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marquardt Audiology & Hearing AIDS PLLC | Audiologist | Current | Accepting new patients |
| ENT and Allergy Associates of Texas PLLC | Current | Accepting new patients | |
| MHS Physicians of Texas | Past | Accepting new patients |
Locations
1020 Riverwood Ct
Ste 115
Conroe, TX 77304
Phone (936) 273-4437
915 Gessner Rd
Ste 280
Houston, TX 77024
Phone (713) 461-2626
22999 Highway 59 N
Ste 400
Kingwood, TX 77339
Phone (281) 358-2314
17350 St Lukes Way
Ste 115
The Woodlands, TX 77384
Phone (936) 273-4437
17450 St Lukes Way
Ste 150
The Woodlands, TX 77384
Phone (936) 273-4437
11439 Spring Cypress Rd
Unit B
Tomball, TX 77377
Phone (936) 273-4437
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686873600000",
"number": "1205365822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11439 SPRING CYPRESS RD UNIT B",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773776513",
"telephone_number": "936-273-4437",
"fax_number": "936-273-3279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17350 ST LUKES WAY STE 115",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773844103",
"telephone_number": "936-273-4437",
"fax_number": "936-273-3279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORNEGAY",
"first_name": "ALIX",
"middle_name": "NICOLE",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-07",
"last_updated": "2023-06-16",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "80858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALIX",
"last_name": "WILLIAMSON",
"credential": "AUD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.