Individual provider Active NPI

Celia S McCormick, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Plano, TX
National Provider Identifier
1366415101
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
51713 Issued in TX
Practice address
4105 W Spring Creek Pkwy
Suite 702
Plano, TX 75024-5283
Phone
(972) 943-0466
Fax
(972) 599-1707
NPI assigned
Feb 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 51713 TX
Audiologist-Hearing Aid Fitter 237600000X 51713 TX Primary

Addresses

Primary practice location

4105 W Spring Creek Pkwy
Suite 702
Plano, TX 75024-5283

Mailing address

4105 W Spring Creek Pkwy
Suite 702
Plano, TX 75024-5283
Phone (972) 943-0466

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051130000514 TX Practitioner - Qualified Audiologist 1153341540 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
51713TXMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Family Audiology Audiologist CurrentSince Oct 1, 2005 Accepting new patients

Locations

4105 W Spring Creek Pkwy
Ste 702
Plano, TX 75024
Phone (972) 943-0466

4105 W Spring Creek Pkwy
Plano, TX 75024
Phone (214) 444-3649

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1366415101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 W SPRING CREEK PKWY",
            "address_2": "SUITE 702",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245283",
            "telephone_number": "972-943-0466",
            "fax_number": "972-599-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 W SPRING CREEK PKWY",
            "address_2": "SUITE 702",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245283",
            "telephone_number": "972-943-0466",
            "fax_number": "972-599-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "CELIA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51713",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "51713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.

Verify at the official NPI Registry.