Individual provider Active NPI

Sheryl Eileen Mellette, M.S., CCC-A

  • Audiologist
  • Austin, TX
National Provider Identifier
1497920052
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
50828 Issued in TX
Practice address
3705 Medical Pkwy
Suite 320
Austin, TX 78705
Phone
(512) 454-0392
Fax
(512) 454-1233
NPI assigned
Apr 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 50828 TX Primary

Addresses

Primary practice location

3705 Medical Pkwy
Suite 320
Austin, TX 78705

Mailing address

3705 Medical Pkwy
Suite 320
Austin, TX 78705
Phone (512) 454-0392

Other identifiers 2

IdentifierTypeStateIssuer
80777AOtherTXBCBS-HCAENT
80776AOtherTXBCBS-AENTC

Other names 1

  • Sheryl Eileen Harty Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080811000305 TX Practitioner - Qualified Audiologist 9436223369 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LHP Texas MD Services, IncGroup PAC ID 8527222108, 36 clinicians

Practice addresses (Care Compare)

800 W Central Texas Expy
Harker Heights, TX 76548-1996
Phone (254) 457-3743

850 W Central Texas Expy
Harker Heights, TX 76548-1890
Phone (254) 457-3743

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
50828TXMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
LHP Texas MD Services, Inc CurrentSince Jun 1, 2023 Accepting new patients
Providence Health Alliance CurrentSince Nov 1, 2021 Accepting new patients
Providence Health Alliance CurrentSince Nov 1, 2021 Accepting new patients
Texas Ear, Nose & Throat Specialists, PLLC Audiologist PastSince Jul 3, 2018 Accepting new patients
Rosewood ENT, LLP Past Accepting new patients

Locations

800 W Central Texas Expy
Ste 205
Harker Heights, TX 76548
Phone (254) 457-3743

800 W Central Texas Expy
Harker Heights, TX 76548
Phone (254) 618-4933

601 W State Highway 6
Ste 106
Waco, TX 76710
Phone (254) 753-0351

301 Richland West Cir
Waco, TX 76712
Phone (254) 537-6200

Interoperability endpoints

  • Direct secure messaging: sheryl.mellette.1@9635.direct.athenahealth.com

Organizations & group practices 5

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": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1497920052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY",
            "address_2": "SUITE 320",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78705",
            "telephone_number": "512-454-0392",
            "fax_number": "512-454-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY",
            "address_2": "SUITE 320",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78705",
            "telephone_number": "512-454-0392",
            "fax_number": "512-454-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLETTE",
        "first_name": "SHERYL",
        "middle_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "50828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-HCAENT",
            "identifier": "80777A",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-AENTC",
            "identifier": "80776A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERYL",
            "last_name": "HARTY",
            "middle_name": "EILEEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.