Individual provider Active NPI

Holly Pavlicek

  • Audiologist
  • Victoria, TX
National Provider Identifier
1629714738
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
81350 Issued in TX
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address victoriaentandallergy@allmedsccd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220624000082 TX Practitioner - Qualified Audiologist 0840679676 Reassigns benefits to 2 organizations

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
Herman G Leong M D P aGroup PAC ID 9234300104, 3 clinicians

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

LicenseStateTypeSpecialty
81350TXMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hoffman Hearing Solutions, LLC CurrentSince May 17, 2024 Accepting new patients
Herman G Leong M D P a CurrentSince May 24, 2022 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.

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

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.

Verify at the official NPI Registry.