Individual provider Active NPI

Rebecca Brock Kohout, AU.D.

  • Audiologist
  • Houston, TX
National Provider Identifier
1497167662
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
80555 Issued in TX
Practice address
12900 Queensbury LN
Ste 100
Houston, TX 77079-3713
Phone
(713) 827-1767
Fax
(713) 827-1984
NPI assigned
May 22, 2014
Last updated
May 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 80555 TX Primary
Audiologist-Hearing Aid Fitter 237600000X

Addresses

Primary practice location

12900 Queensbury LN
Ste 100
Houston, TX 77079-3713

Mailing address

12900 Queensbury LN
Ste 100
Houston, TX 77079-3713
Phone (713) 827-1767

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

LicenseStateTypeSpecialty
80555TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Allison Audiology & Hearing Aid Services, P.C. Audiologist CurrentSince Sep 26, 2016 Accepting new patients
Brent E Patterson Past Accepting new patients
Noble Anesthesia Partners, PLLC Past Accepting new patients

Locations

12900 Queensbury Ln
Ste 100
Houston, TX 77079
Phone (713) 322-6974

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.

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1497167662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 QUEENSBURY LN",
            "address_2": "STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770793713",
            "telephone_number": "713-827-1767",
            "fax_number": "713-827-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 QUEENSBURY LN",
            "address_2": "STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770793713",
            "telephone_number": "713-827-1767",
            "fax_number": "713-827-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHOUT",
        "first_name": "REBECCA",
        "middle_name": "BROCK",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80555",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.