Hill Country Audiology

Primary specialty

AudiologistTaxonomy code 231H00000X

License

50953 Issued in TX

Legal business name

HILL COUNTRY AUDIOLOGY

Practice address

100 River Hills Dr
Ste 105
Georgetown, TX 78628-2764

Phone

(512) 763-8855

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marla Pennell, AUD CCC-A

Title

Owner

Phone

(512) 763-8855

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1780805697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 TWIN SPRINGS RD",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786334371",
            "telephone_number": "512-763-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIVER HILLS DR",
            "address_2": "STE 105",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282764",
            "telephone_number": "512-763-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILL COUNTRY AUDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "PENNELL",
        "authorized_official_first_name": "MARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-763-8855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AUD CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "TX",
            "license": "50953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112794602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Georgetown, TX
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• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.