Active NPI
Angela Michele Gillentine, AU.D.
- Audiologist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2022039713
- Practice address
- 1010 Old Des Peres Rd
Saint Louis, MO 63131-1865 - Phone
- (314) 729-0077
- Fax
- (314) 729-0101
- NPI assigned
- Jan 3, 2007
- Last updated
- Jun 30, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 51020 | TX | |
| Audiologist | 231H00000X | 2022039713 | MO | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 2022039713 | MO | |
| Audiologist-Hearing Aid Fitter | 237600000X | 51020 | TX |
Addresses
Primary practice location
1010 Old Des Peres Rd
Saint Louis, MO 63131-1865
Mailing address
3264 State Highway 110
Grand Saline, TX 75140-5098
Phone (972) 747-1333
Other practice location 1
501 W Pine St
Farmington, MO 63640-1439
Phone (573) 756-8888
Other practice location 2
915 W Exchange Pkwy
Suite 180-A
Allen, TX 75013-7017
Phone (972) 747-1333
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33-1023289 | Other | TX | FEDERAL TAX ID |
| 331023289 | Other | UNITED HEALTH CARE | |
| 430835090 | Other | MO | TAX ID |
| 528407 | Other | TX | BLUECROSS AND BLUESHIELD |
| 7065317 | Other | TX | AETNA |
| 1469165-04 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- University of Oklahoma College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 Old Des Peres Rd
Des Peres, MO 63131-1865
Phone (314) 729-0077
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excelhealth Group LLC | Audiologist | Current | Accepting new patients |
| Allen Hearing Clinic, Inc. | Past | Accepting new patients | |
| Audigycare, LLC | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
Locations
605 River Rock Blvd
Murfreesboro, TN 37128
4195 Milam St
Beaumont, TX 77707
Phone (409) 842-4450
7633 Bellfort St
Houston, TX 77061
Phone (713) 644-2101
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hearing Aid Equipment
- Allen, TX
- NPI 1871791632
-
- Hearing and Speech Clinic/Center
- Midlothian, TX
- NPI 1063778421
-
- Audiologist-Hearing Aid Fitter
- Vancouver, WA
- NPI 1720364920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1518024918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3264 STATE HIGHWAY 110",
"city": "GRAND SALINE",
"state": "TX",
"postal_code": "751405098",
"telephone_number": "972-747-1333",
"fax_number": "972-747-1132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 OLD DES PERES RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631311865",
"telephone_number": "314-729-0077",
"fax_number": "314-729-0101"
}
],
"practiceLocations": [
{
"address_1": "501 W Pine St",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "MO",
"postal_code": "636401439",
"country_code": "US",
"telephone_number": "573-756-8888",
"fax_number": "573-701-9547",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "915 W Exchange Pkwy",
"address_2": "Suite 180-A",
"address_purpose": "LOCATION",
"city": "Allen",
"state": "TX",
"postal_code": "750137017",
"country_code": "US",
"telephone_number": "972-747-1333",
"fax_number": "972-747-1132",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILLENTINE",
"first_name": "ANGELA",
"middle_name": "MICHELE",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "51020",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MO",
"license": "2022039713",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MO",
"license": "2022039713",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TX",
"license": "51020",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID",
"identifier": "33-1023289",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "331023289",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "430835090",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS AND BLUESHIELD",
"identifier": "528407",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7065317",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1469165-04",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.