Active NPI
Cassandra A Wilson, AU.D.
- Audiologist
- McKinney, TX
National Provider Identifier
1710291976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 80316
- Practice address
- 3600 Eldorado Pkwy # B1
McKinney, TX 75070-3793 - Phone
- (972) 838-1300
- Fax
- (972) 838-1302
- NPI assigned
- Jul 29, 2010
- Last updated
- Aug 22, 2024
- 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 | 80316 | TX | Primary |
Addresses
Primary practice location
3600 Eldorado Pkwy # B1
McKinney, TX 75070-3793
Mailing address
3600 Eldorado Pkwy # B1
McKinney, TX 75070-3793
Phone (972) 838-1300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80316 | TX | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilson Audiology | Audiologist | Current | Accepting new patients |
Locations
3600 Eldorado Pkwy
#B1
McKinney, TX 75070
Phone (972) 838-1300
4201 Medical Center Dr
Ste 270
McKinney, TX 75069
Phone (972) 838-1300
Organizations & group practices 1
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": "1280361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1710291976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 ELDORADO PKWY # B1",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750703793",
"telephone_number": "972-838-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 ELDORADO PKWY # B1",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750703793",
"telephone_number": "972-838-1300",
"fax_number": "972-838-1302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "CASSANDRA",
"middle_name": "A",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-29",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "80316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.