Active NPI
Ashley Jordan Richburg, AU.D., CCC-A
- Audiologist
- Georgetown, TX
National Provider Identifier
1740703438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 80876
- Practice address
- 3613 Williams Dr Ste 406
Georgetown, TX 78628-1370 - Phone
- (512) 704-3911
- Fax
- (512) 704-3911
- NPI assigned
- Jul 25, 2017
- Last updated
- Jul 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 80876 | TX | Primary |
Addresses
Primary practice location
3613 Williams Dr Ste 406
Georgetown, TX 78628-1370
Mailing address
2720 Santa Cruz St
Round Rock, TX 78665-5712
Phone (806) 632-3684
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80876 | TX | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tejas Hearing Aid Center LLC | Audiologist | Past | Accepting new patients |
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": "1500940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500940800000",
"number": "1740703438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 SANTA CRUZ ST",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786655712",
"telephone_number": "806-632-3684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3613 WILLIAMS DR STE 406",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786281370",
"telephone_number": "512-704-3911",
"fax_number": "512-704-3911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHBURG",
"first_name": "ASHLEY",
"middle_name": "JORDAN",
"name_prefix": "Dr.",
"credential": "AU.D., CCC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-25",
"last_updated": "2017-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "80876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.