Individual provider Active NPI

Mary Katherine Marshallsea, AU.D.

  • Audiologist
  • Dallas, TX
National Provider Identifier
1821646100
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
81171 Issued in TX
Practice address
7777 Forest LN Ste A103
Dallas, TX 75230
Phone
(972) 566-7600
NPI assigned
Aug 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 81171 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste A103
Dallas, TX 75230

Mailing address

7777 Forest LN Ste A103
Dallas, TX 75230-6800
Phone (205) 826-2075

Other practice location 1

7777 Forest Ln Ste A103
Dallas, TX 75230
Phone (972) 566-7600

Other names 1

  • Mary Katherine Davis Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210714002028 TX Practitioner - Qualified Audiologist 5698177533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas Otolaryngology AssociatesGroup PAC ID 3072647890, 19 clinicians

Practice addresses (Care Compare)

7777 Forest LN
Suite A103
Dallas, TX 75230-6800
Phone (972) 566-7600

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
82.14
Improvement activities
40
Cost
71.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Otolaryngology Associates CurrentSince Apr 13, 2021 Accepting new patients

Locations

3900 Junius St
Ste 240
Dallas, TX 75246
Phone (469) 803-5555

7777 Forest Ln
Ste A103
Dallas, TX 75230
Phone (972) 566-7359

4461 Coit Rd
Ste 311
Frisco, TX 75035
Phone (214) 872-2688

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": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1821646100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE A103",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306800",
            "telephone_number": "205-826-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE A103",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75230",
            "telephone_number": "972-566-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7777 Forest Ln Ste A103",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75230",
            "country_code": "US",
            "telephone_number": "972-566-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALLSEA",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "DAVIS",
            "middle_name": "KATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.