Individual provider Active NPI

Spencer Pevahouse, AU.D.

  • Audiologist
  • Fort Worth, TX
National Provider Identifier
1801588587
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
4601 Heritage Trace Pkwy
Fort Worth, TX 76244-8905
Phone
(817) 431-7985
NPI assigned
May 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X TX Primary

Addresses

Primary practice location

4601 Heritage Trace Pkwy
Fort Worth, TX 76244-8905

Mailing address

6128 Anita St
Dallas, TX 75214-2611

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230719002567 TX Practitioner - Qualified Audiologist 7810357084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Otolaryngology Specialists of North Texas PAGroup PAC ID 4981830627, 6 clinicians

Practice addresses (Care Compare)

6300 W Parker Rd
Suite G24
Plano, TX 75093-8105
Phone (972) 378-0633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Otolaryngology Specialists of North Texas PA CurrentSince Jul 1, 2024 Accepting new patients

Locations

6300 W Parker Rd
Ste G24
Plano, TX 75093
Phone (972) 378-0633

6300 W Parker Rd
Ste 326
Plano, TX 75093
Phone (972) 378-0633

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDGDCA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1801588587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6128 ANITA ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752142611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 HERITAGE TRACE PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762448905",
            "telephone_number": "817-431-7985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEVAHOUSE",
        "first_name": "SPENCER",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.