Individual provider Active NPI

Ashley Paige Jordan Peterson Sconzo, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Austin, TX
National Provider Identifier
1497948855
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
80356 Issued in TX
Practice address
11645 Angus Rd Ste B8
Austin, TX 78759-4100
Phone
(512) 258-2300
Fax
(512) 904-2294
NPI assigned
Aug 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 4188 NM
Audiologist-Hearing Aid Fitter 237600000X 562 CO
Audiologist-Hearing Aid Fitter 237600000X 2136 KS
Audiologist-Hearing Aid Fitter 237600000X 80356 TX Primary

Addresses

Primary practice location

11645 Angus Rd Ste B8
Austin, TX 78759-4100

Mailing address

PO Box 14742
Belfast, ME 04915-4042
Phone (512) 258-2300

Other practice location 1

11762 Jollyville Rd
Austin, TX 78759-3937
Phone (512) 258-2300

Other practice location 2

11762 Jollyville Rd
Austin, TX 78759-3937
Phone (512) 258-2300

Other identifiers 1

IdentifierTypeStateIssuer
90459776MedicaidNM

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
562COMDCommunity Health Worker
2136KSMDAudiologist-Hearing Aid Fitter
4188NMMDAudiologist-Hearing Aid Fitter
80356TXMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1497948855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14742",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154042",
            "telephone_number": "512-258-2300",
            "fax_number": "512-904-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 ANGUS RD STE B8",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594100",
            "telephone_number": "512-258-2300",
            "fax_number": "512-904-2294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11762 Jollyville Rd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787593937",
            "country_code": "US",
            "telephone_number": "512-258-2300",
            "fax_number": "512-904-2294",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11762 Jollyville Rd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787593937",
            "country_code": "US",
            "telephone_number": "512-258-2300",
            "fax_number": "512-904-2294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON SCONZO",
        "first_name": "ASHLEY",
        "middle_name": "PAIGE JORDAN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NM",
            "license": "4188",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CO",
            "license": "562",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "KS",
            "license": "2136",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "80356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90459776",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 29, 2018; 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.