Jacqueline Shirley Petescia, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

81871 Issued in TX

Practice address

1966 Inwood Rd
Dallas, TX 75235-7298

Phone

(972) 883-3000

Fax

(972) 883-3068

NPI assigned

Jun 24, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Qualified Audiologist

Education

Other, 2026

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• University of Texas at Dallas

  • Audiologist
  • Dallas, TX
  • NPI 1770559973
  NPD

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

{
    "created_epoch": "1782259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1801712997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 INWOOD RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357298",
            "telephone_number": "972-883-3000",
            "fax_number": "972-883-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1966 INWOOD RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357298",
            "telephone_number": "972-883-3000",
            "fax_number": "972-883-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETESCIA",
        "first_name": "JACQUELINE",
        "middle_name": "SHIRLEY",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-24",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samirah H Peterson
• Sarah Rosary Peterson, CCC-SLP
• Stefan Peterson, MD
• Wade Christian Peterson, MA, LPC, NCC
• William S. Peterson, M.D.
• Brandon Petite
• Lauren Petka
• Radina G. Petkova, DDS
• Brandon Lloyd Petkovich, CRNA
• Christina Allison Petkovich, CRNA

• Audiologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.