Active NPI
Jenna Nichole Smith, AU.D.
- Audiologist
- Katy, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 80839
- Practice address
- 23920 Katy Fwy Ste 430
Katy, TX 77494-0881 - Phone
- (281) 347-6700
- Fax
- (281) 347-6777
- NPI assigned
- May 30, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 80839 | TX | Primary |
Addresses
Primary practice location
23920 Katy Fwy Ste 430
Katy, TX 77494-0881
Mailing address
10740 N Gessner Rd Ste 310
Houston, TX 77064-1240
Phone (281) 897-0416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3650 W Rock Creek Rd
110B
Norman, OK 73072-2202
Phone (405) 755-6651
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80839 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma Otolaryngology Hearing Center Inc | Audiologist | Current | Accepting new patients |
| Oklahoma Otolaryngology Associates, LLC | Past | Accepting new patients |
Locations
3824 S Boulevard
Ste 110
Edmond, OK 73013
Phone (405) 513-8811
3650 W Rock Creek Rd
Ste 110B
Norman, OK 73072
Phone (405) 364-2684
3650 W Rock Creek Rd
#110B
Norman, OK 73072
Phone (405) 755-1930
Organizations & group practices 2
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.
-
- Audiologist
- Edmond, OK
- NPI 1356788954
-
- Specialist
- Oklahoma City, OK
- NPI 1124118773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496102400000",
"number": "1568990976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10740 N GESSNER RD STE 310",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770641240",
"telephone_number": "281-897-0416",
"fax_number": "281-890-8908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23920 KATY FWY STE 430",
"city": "KATY",
"state": "TX",
"postal_code": "774940881",
"telephone_number": "281-347-6700",
"fax_number": "281-347-6777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JENNA",
"middle_name": "NICHOLE",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-30",
"last_updated": "2017-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "80839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; 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.