Jacob Keup, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

80976 Issued in TX

Practice address

1340 Wonder World Dr Ste 2300
San Marcos, TX 78666-8070

Phone

(737) 221-8212

NPI assigned

Apr 6, 2018

Last updated

Sep 22, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Waterloo Audiology PLLCGroup PAC ID 5395111074, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Waterloo Audiology PLLC

  • Audiologist
  • Seguin, TX
  • NPI 1831812353
  Medicare reassignment Care Compare group NPD
• Butler & Burns Ear Nose & Throat Associates

  dba Austin Ear, Nose & Throat Clinic

  • Otolaryngology Physician
  • Austin, TX
  • NPI 1174505473
  NPD (past)
• Families Who Listen

  • Audiologist
  • Austin, TX
  • NPI 1982882858
  NPD (past)

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1518464536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 WONDER WORLD DR",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667598",
            "telephone_number": "830-240-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 WONDER WORLD DR STE 2300",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786668070",
            "telephone_number": "737-221-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEUP",
        "first_name": "JACOB",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-06",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Modeste R Kenfack Djouaka
• Kenneth L. Long, M.D., P.a.
• Thomas Kepczyk, M.D.
• Kaycie Brooke Kerby
• Annmarie Kessler
• Addison Rose Key
• Hisham Khan
• Jamshaid Aslam Khan, DDS
• Fong Yong Jane Khor, MPT
• Niloofar Khosravian

• Audiologist in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.