Individual provider Active NPI

Rebecca Willey McDonald, AU.D.

  • Audiologist
  • Arlington, TX
National Provider Identifier
1780793620
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
51684 Issued in TX
Practice address
101 W Randol Mill Rd Ste 100
Arlington, TX 76011-5810
Phone
(817) 277-7039
Fax
(817) 801-3231
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 51684 TX Primary

Addresses

Primary practice location

101 W Randol Mill Rd Ste 100
Arlington, TX 76011-5810

Mailing address

101 W Randol Mill Rd Ste 100
Arlington, TX 76011-5810
Phone (817) 277-7039

Other identifiers 1

IdentifierTypeStateIssuer
80447AOtherTXBCBS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051007000175 TX Practitioner - Qualified Audiologist 9931134723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Vanderbilt University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geoffrey Scott MD PAGroup PAC ID 4789731712, 4 clinicians

Practice addresses (Care Compare)

4351 Booth Calloway Rd
Suite 308
North Richland Hills, TX 76180-7380
Phone (817) 595-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Geoffrey Scott, M.D., P.a. CurrentSince Apr 1, 2015 Accepting new patients
Kos Danchak Audiology and Hearing AIDS LLC Audiologist PastSince Jan 5, 2007 Accepting new patients

Locations

4351 Booth Calloway Rd
Ste 308
North Richlnd Hls, TX 76180
Phone (817) 595-3700

Organizations & group practices 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1780793620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W RANDOL MILL RD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115810",
            "telephone_number": "817-277-7039",
            "fax_number": "817-801-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W RANDOL MILL RD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115810",
            "telephone_number": "817-277-7039",
            "fax_number": "817-801-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "REBECCA",
        "middle_name": "WILLEY",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "80447A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.