Active NPI
Angela E. Anderson, AU.D.
- Audiologist-Hearing Aid Fitter
- Hurst, TX
National Provider Identifier
1346280252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 50913
- Practice address
- 1550 Norwood Dr
Suite 100
Hurst, TX 76054-3646 - Phone
- (817) 282-8402
- Fax
- (817) 285-6182
- NPI assigned
- Jun 8, 2006
- Last updated
- Nov 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 50913 | TX | |
| Audiologist-Hearing Aid Fitter | 237600000X | 50913 | TX | Primary |
Addresses
Primary practice location
1550 Norwood Dr
Suite 100
Hurst, TX 76054-3646
Mailing address
PO Box 1258
Hurst, TX 76053-1258
Phone (817) 282-8402
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80396A | Other | TX | BCBS |
| 0946188 | Medicaid | TX | |
| 132647209 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50913 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Star Audiology PLLC | Current | Accepting new patients | |
| Anderson Audiology Associates, LLC | Audiologist | Past | Accepting new patients |
| Physicians and Allied Health Professionals Group, PA | Past | Accepting new patients |
Locations
8405 Lakeview Pkwy
Ste 216
Rowlett, TX 75088
Phone (972) 212-4391
Interoperability endpoints
- https://api.platform.athenahealth.com/4626/brand/1/csg/1/fhir/r4
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.
-
- Hearing Instrument Specialist
- Mesquite, TX
- NPI 1104553551
-
- Audiologist
- Hurst, TX
- NPI 1144536806
-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1346280252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1258",
"city": "HURST",
"state": "TX",
"postal_code": "760531258",
"telephone_number": "817-282-8402",
"fax_number": "817-285-6182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 NORWOOD DR",
"address_2": "SUITE 100",
"city": "HURST",
"state": "TX",
"postal_code": "760543646",
"telephone_number": "817-282-8402",
"fax_number": "817-285-6182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "ANGELA",
"middle_name": "E.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "50913",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TX",
"license": "50913",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "80396A",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0946188",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132647209",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hurst, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.