Active NPI
Angela Keller Simonowicz, AUD
- Audiologist
- Lackland Afb, TX
National Provider Identifier
1316472731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 81449
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 81449 | TX | MD | Professional Counselor |
| 9851 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minneapolis Radiology Associates, LTD. | Past | 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.
-
- Diagnostic Radiology Physician
- Robbinsdale, MN
- NPI 1871594341
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.