Individual provider Active NPI

Angela Keller Simonowicz, AUD

  • Audiologist
  • Lackland Afb, TX
National Provider Identifier
1316472731
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
81449 Issued in TX
Practice address
1940 Carswell Ave BLDG 7002
Lackland Afb, TX 78236-5514
Phone
(210) 292-1245
NPI assigned
Apr 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 81449 TX Primary

Addresses

Primary practice location

1940 Carswell Ave BLDG 7002
Lackland Afb, TX 78236-5514

Mailing address

107 Bryker Dr
Terrell Hills, TX 78209-6007
Phone (830) 931-1815

Other names 1

  • Angela Patrice Keller Former name

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
81449TXMDProfessional Counselor
9851MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Minneapolis Radiology Associates, LTD. PastSince Jan 15, 2018 Accepting new patients

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": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1316472731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 BRYKER DR",
            "city": "TERRELL HILLS",
            "state": "TX",
            "postal_code": "782096007",
            "telephone_number": "830-931-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 CARSWELL AVE BLDG 7002",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "782365514",
            "telephone_number": "210-292-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONOWICZ",
        "first_name": "ANGELA",
        "middle_name": "KELLER",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "KELLER",
            "middle_name": "PATRICE",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lackland Afb, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.