Individual provider Active NPI

Cassandra A Wilson, AU.D.

  • Audiologist
  • McKinney, TX
National Provider Identifier
1710291976
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
80316 Issued in TX
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20110404000746 TX Practitioner - Qualified Audiologist 7012191703 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80316TXMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson Audiology Audiologist CurrentSince Sep 18, 2021 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.

Verify at the official NPI Registry.