Active NPI
Jody L Pogue, AU.D.
- Audiologist
- Denton, TX
National Provider Identifier
1831522044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 80466
- Practice address
- 1719 S Loop 288
Ste 165
Denton, TX 76205-4809 - Phone
- (940) 556-2425
- Fax
- (940) 566-2469
- NPI assigned
- Aug 12, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 80466 | TX | Primary |
Addresses
Primary practice location
1719 S Loop 288
Ste 165
Denton, TX 76205-4809
Mailing address
215 Shuman Blvd
Ste 401
Naperville, IL 60563-8458
Phone (630) 303-5380
Other practice location 1
2700 N. O'Connor, Suite 102 B
Irving, TX 75062-5698
Phone (972) 252-9360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80466 | TX | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1831522044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 SHUMAN BLVD",
"address_2": "STE 401",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605638458",
"telephone_number": "630-303-5380",
"fax_number": "978-313-6824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1719 S LOOP 288",
"address_2": "STE 165",
"city": "DENTON",
"state": "TX",
"postal_code": "762054809",
"telephone_number": "940-556-2425",
"fax_number": "940-566-2469"
}
],
"practiceLocations": [
{
"address_1": "2700 N. O'Connor, Suite 102 B",
"address_purpose": "LOCATION",
"city": "Irving",
"state": "TX",
"postal_code": "750625698",
"country_code": "US",
"telephone_number": "972-252-9360",
"fax_number": "972-252-7516",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POGUE",
"first_name": "JODY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "80466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.