Active NPI
Holly Pavlicek
- Audiologist
- Victoria, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 81350
- Practice address
- 117 Medical Dr Ste 1
Victoria, TX 77904-3114 - Phone
- (361) 573-4832
- Fax
- (361) 575-6244
- NPI assigned
- May 11, 2022
- Last updated
- Jun 29, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 81350 | TX | Primary |
| Audiologist | 231H00000X |
Addresses
Primary practice location
117 Medical Dr Ste 1
Victoria, TX 77904-3114
Mailing address
117 Medical Dr Ste 1
Victoria, TX 77904-3114
Phone (361) 573-4832
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | victoriaentandallergy@allmedsccd.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
117 Medical Dr
Suite 1
Victoria, TX 77904-3114
Phone (361) 573-4331
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81350 | TX | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoffman Hearing Solutions, LLC | Current | Accepting new patients | |
| Herman G Leong M D P a | Current | Accepting new patients | |
| Victoria Hearing Center LLC | Past | Accepting new patients |
Locations
7602 S Staples St
Ste 103
Corpus Christi, TX 78413
Phone (361) 288-3000
117 Medical Dr
Ste 1
Victoria, TX 77904
Phone (361) 573-4331
Organizations & group practices 3
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.
-
- Otolaryngology Physician
- Victoria, TX
- NPI 1689952970
-
- Audiologist-Hearing Aid Fitter
- Corpus Christi, TX
- NPI 1457830432
-
- Hearing and Speech Clinic/Center
- Victoria, TX
- NPI 1285019752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1629714738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 MEDICAL DR STE 1",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779043114",
"telephone_number": "361-573-4832",
"fax_number": "361-575-6244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 MEDICAL DR STE 1",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779043114",
"telephone_number": "361-573-4832",
"fax_number": "361-575-6244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVLICEK",
"first_name": "HOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-11",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "81350",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "victoriaentandallergy@allmedsccd.com",
"affiliation": "N",
"address_1": "117 Medical Dr Ste 1",
"city": "Victoria",
"state": "TX",
"country_code": "US",
"postal_code": "779043114",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Victoria, TX
- Suresh N Pathikonda, M.D.
- Pathologists Bio-Medical Laboratories PLLC
- Narender Pati, R.PH.
- Paul E Mondolfi, MD, PA
- Kelly M Paulk, M.A., L.P.C
- Vanessa Vanover Payne, APRN, FNP-C
- PBM Pathology Services PLLC
- Perez Orthopedics, PLLC (South Texas Orthopedic Specialists)
- Krystal Perez, CCC-SLP
- Maria Elissa Perez, RDH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.