Individual provider Active NPI

Cassandra Alise Holloway, AUD

  • Audiologist
  • Athens, TX
National Provider Identifier
1831084292
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
81740 Issued in TX
Practice address
1701 S Palestine St
Athens, TX 75751-9129
Phone
(903) 675-3316
NPI assigned
Jun 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 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 81740 TX Primary

Addresses

Primary practice location

1701 S Palestine St
Athens, TX 75751-9129

Mailing address

1701 S Palestine St
Athens, TX 75751-9129
Phone (903) 675-3316

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250728001605 TX Practitioner - Qualified Audiologist 6608383435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Etmc Physician Group, Inc.Group PAC ID 4486915600, 375 clinicians

Practice addresses (Care Compare)

1701 S Palestine St
Suite a
Athens, TX 75751-5739
Phone (903) 675-9339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81740TXMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Etmc Physician Group Inc. CurrentSince Jul 1, 2025 Accepting new patients
Etmc Physician Group Inc. CurrentSince Jul 1, 2025 Accepting new patients

Locations

1701 S Palestine St
Athens, TX 75751
Phone (903) 675-3316

1701 S Palestine St
Ste A
Athens, TX 75751
Phone (903) 675-3316

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

901 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 594-2418

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": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1831084292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 S PALESTINE ST",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757519129",
            "telephone_number": "903-675-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S PALESTINE ST",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757519129",
            "telephone_number": "903-675-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "CASSANDRA",
        "middle_name": "ALISE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.