Keely Patricia Offutt, AUDIOLOGIST

Primary specialty

AudiologistTaxonomy code 231H00000X

License

51499 Issued in TX

Practice address

3100 Shenandoah St
Houston, TX 77021-1042

Phone

(713) 523-3633

Fax

(713) 523-8399

NPI assigned

Jun 2, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Keely Patricia Seyle Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599955200000",
    "number": "1679867006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SHENANDOAH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770211042",
            "telephone_number": "713-523-3633",
            "fax_number": "713-523-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SHENANDOAH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770211042",
            "telephone_number": "713-523-3633",
            "fax_number": "713-523-8399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10970 Shadow Creek Pkwy Ste 360",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775840123",
            "country_code": "US",
            "telephone_number": "713-436-8071",
            "fax_number": "713-436-4030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "251 W Medical Center Blvd",
            "address_2": "STE 110",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984242",
            "country_code": "US",
            "telephone_number": "281-338-1423",
            "fax_number": "281-316-2173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OFFUTT",
        "first_name": "KEELY",
        "middle_name": "PATRICIA",
        "credential": "AUDIOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2020-09-13",
        "certification_date": "2020-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEELY",
            "last_name": "SEYLE",
            "middle_name": "PATRICIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Umoh E Offiong, RPH
• Anaeze Chidiebele Offodile II, M.D.
• Victoria Offong
• Chioma Offor
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• Ellen Villanueva Ofield, PT
• Diane Ofili, PHYSICIAN ASSISTANT
• Patricia Isioma Ofili, FNP
• Rosemary Ngozi Ofili
• Nnamdi Ofodike

• Audiologist in Houston, TX
• Providers in Houston, TX by specialty
• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.