Rebecca Gomer, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

51350 Issued in TX

Practice address

915 W Exchange Pkwy # 180a
Allen, TX 75013-7017

Phone

(972) 747-1333

Fax

(972) 747-1132

NPI assigned

Apr 11, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Tidwell Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gomer Hearing LLCGroup PAC ID 3779872486, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gomer Hearing, LLC

  dba Gomer Hearing Center

  • Audiologist
  • Richardson, TX
  • NPI 1629423215
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1427314772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 E RENNER RD STE 108",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822917",
            "telephone_number": "972-803-8072",
            "fax_number": "214-238-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W EXCHANGE PKWY # 180A",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750137017",
            "telephone_number": "972-747-1333",
            "fax_number": "972-747-1132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4011 E Renner Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750822917",
            "country_code": "US",
            "telephone_number": "972-803-8072",
            "fax_number": "214-238-3806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMER",
        "first_name": "REBECCA",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "TIDWELL",
            "credential": "M.S., F-AAA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Gayle Glover, PSY.D.
• Madeline Mae Goettsch, PA-C
• Jonathan Goh, COTA
• Golden Mesa LLC
• Brandan Dawn Goldey, RNFA
• Zuzi Gomez-Chang, LPC
• Stefanie Lynn Gonzales, O.D.
• Cindy Gonzalez, LPC
• Erick John Gonzalez, PSY.D.
• Julia Gonzalez

• Audiologist in Allen, TX
• Providers in Allen, TX by specialty
• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.