Individual provider Active NPI

Terri H Roberson, M.S. CCCA

  • Audiologist-Hearing Aid Fitter
  • San Antonio, TX
National Provider Identifier
1760606164
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
50522 Issued in TX
Practice address
6609 Blanco Rd
Ste 115
San Antonio, TX 78216-6131
Phone
(210) 342-2299
Fax
(210) 342-5499
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 50522 TX Primary

Addresses

Primary practice location

6609 Blanco Rd
Ste 115
San Antonio, TX 78216-6131

Mailing address

6609 Blanco Rd
Ste 115
San Antonio, TX 78216-6131
Phone (210) 342-2299

Other identifiers 3

IdentifierTypeStateIssuer
513861OtherTXBCBS
0224073-02MedicaidTX
8F7695OtherTXINDIVIDUAL PTAN - MEDICARE

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
50522TXMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics-Indianapolis, Inc PastSince Jan 1, 2022 Accepting new patients
Rem Audiology Associates, P.C. Audiologist-Hearing Aid Fitter Past Accepting new patients
Farris, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1760606164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 BLANCO RD",
            "address_2": "STE 115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166131",
            "telephone_number": "210-342-2299",
            "fax_number": "210-342-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 BLANCO RD",
            "address_2": "STE 115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166131",
            "telephone_number": "210-342-2299",
            "fax_number": "210-342-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "TERRI",
        "middle_name": "H",
        "credential": "M.S. CCCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "50522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "513861",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0224073-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN - MEDICARE",
            "identifier": "8F7695",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.