Active NPI
Terri H Roberson, M.S. CCCA
- Audiologist-Hearing Aid Fitter
- San Antonio, TX
National Provider Identifier
1760606164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 50522
- 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
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-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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 513861 | Other | TX | BCBS |
| 0224073-02 | Medicaid | TX | |
| 8F7695 | Other | TX | INDIVIDUAL 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
| License | State | Type | Specialty |
|---|---|---|---|
| 50522 | TX | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedics-Indianapolis, Inc | Past | 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.
-
- Audiologist-Hearing Aid Fitter
- San Antonio, TX
- NPI 1134279896
-
- Orthopaedic Surgery Physician
- Terre Haute, IN
- NPI 1285433953
-
- Audiologist-Hearing Aid Fitter
- Philadelphia, PA
- NPI 1124072665
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.