Active NPI
Tara Kathleen Weinberg, AU.D.
- Audiologist-Hearing Aid Fitter
- Richardson, TX
National Provider Identifier
1417399759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 80474
- Practice address
- 2821 E President George Bush Hwy
Ste 210
Richardson, TX 75082-4266 - Phone
- (972) 867-9135
- Fax
- (972) 612-5048
- NPI assigned
- Jul 29, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 80474 | TX | |
| Assistive Technology Practitioner Audiologist | 231HA2400X | 80474 | TX | |
| Audiologist-Hearing Aid Fitter | 237600000X | 80474 | TX | Primary |
Addresses
Primary practice location
2821 E President George Bush Hwy
Ste 210
Richardson, TX 75082-4266
Mailing address
2821 E President George Bush Hwy
Ste 210
Richardson, TX 75082-4266
Phone (972) 867-9135
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 |
|---|---|---|---|
| 80474 | TX | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John M Moore MD PLLC | Current | Accepting new patients | |
| Brassine Audiology, PLLC | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Wilson Audiology | Audiologist | Past | Accepting new patients |
Locations
1600 Coit Rd
Ste 103
Plano, TX 75075
Phone (972) 867-9135
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 and National Provider Directory roles.
-
- Otolaryngology Physician
- Plano, TX
- NPI 1437399185
-
- Audiologist-Hearing Aid Fitter
- McKinney, TX
- NPI 1891816997
-
- Audiologist
- McKinney, TX
- NPI 1811566185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1417399759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2821 E PRESIDENT GEORGE BUSH HWY",
"address_2": "STE 210",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750824266",
"telephone_number": "972-867-9135",
"fax_number": "972-612-5048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 E PRESIDENT GEORGE BUSH HWY",
"address_2": "STE 210",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750824266",
"telephone_number": "972-867-9135",
"fax_number": "972-612-5048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINBERG",
"first_name": "TARA",
"middle_name": "KATHLEEN",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-29",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "80474",
"primary": false
},
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "TX",
"license": "80474",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TX",
"license": "80474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.