Jennifer Wickesberg, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

51231 Issued in TX

Practice address

3636 W Dallas St
Houston, TX 77019-1704

Phone

(713) 523-4722

Fax

(713) 523-8399

NPI assigned

Mar 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• The Center for Hearing and Speech

  • Hearing and Speech Clinic/Center
  • Houston, TX
  • NPI 1831231943

  Audiologist

  Medicare reassignment NPD
• Cochlear Clinical Services, LLC

  • Audiologist
  • San Antonio, TX
  • NPI 1609257823
  NPD (past)
• Houston Ear Research Foundation

  • Audiologist
  • Houston, TX
  • NPI 1407825284
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1497716773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 HOUSTON AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770076237",
            "telephone_number": "713-523-3633",
            "fax_number": "713-523-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 W DALLAS ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770191704",
            "telephone_number": "713-523-4722",
            "fax_number": "713-523-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKESBERG",
        "first_name": "JENNIFER",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "51231",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TX",
            "license": "51231",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167277602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167277601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167277604",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167277603",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167277605",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Katherine Wick
• Tiffany Wick, FNP-C
• Kathra Abdylkadir Wickam, FNP-C
• Lyeza Ann Wicker, LMSW
• Keleigh Sue Wickersham
• Sasrutha Rasika Wickramasinghe, M.D., PH.D.,
• Susan Eileen Wicks, LPC
• Brittany Lauren Widacki, OTR/L
• Cayla Wideman, PA
• Cheryl Huntley Widen, OTR

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.