Individual provider Active NPI

Alix Nicole Kornegay, AUD

  • Audiologist
  • The Woodlands, TX
National Provider Identifier
1205365822
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
80858 Issued in TX
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170627002422 TX Practitioner - Qualified Audiologist 8426327990 Reassigns benefits to 1 organization

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
Marquardt Audiology and Hearing AIDS PLLCGroup PAC ID 3971751009, 8 clinicians

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

OrganizationSpecialtyStatusNew patients
Marquardt Audiology & Hearing AIDS PLLC Audiologist CurrentSince Oct 1, 2018 Accepting new patients
ENT and Allergy Associates of Texas PLLC CurrentSince Jan 1, 2026 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.

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.

Verify at the official NPI Registry.