Organization Active NPI

Worth Audiology PLLC

  • Audiologist
  • Owasso, OK
National Provider Identifier
1861159964
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
WORTH AUDIOLOGY PLLC
Practice address
10512 N 110TH East Ave Ste 220
Owasso, OK 74055-6638
Phone
(918) 516-1919
Fax
(539) 664-7792
NPI assigned
Nov 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Authorized official

Name
Jessica Worth, AUDNPI 1962792960
Title
Owner
Phone
(918) 516-1919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

10512 N 110TH East Ave Ste 220
Owasso, OK 74055-6638

Mailing address

10512 N 110TH East Ave Ste 220
Owasso, OK 74055-6638
Phone (918) 516-1919

Other identifiers 1

IdentifierTypeStateIssuer
200327260AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@worthaudiology.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220104000631 OK Part B Supplier - Clinic/Group Practice 2860883741 Receives reassigned benefits from 3 practitioners
Practice locations: Owasso, OK

National Provider Directory

National Provider Directory
Tax ID family
Worth Audiology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1861159964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10512 N 110TH EAST AVE STE 220",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740556638",
            "telephone_number": "918-516-1919",
            "fax_number": "539-664-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10512 N 110TH EAST AVE STE 220",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740556638",
            "telephone_number": "918-516-1919",
            "fax_number": "539-664-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORTH AUDIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "WORTH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-516-1919",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200327260A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@worthaudiology.com",
            "affiliation": "N",
            "address_1": "10512 N 110th East Ave Ste 220",
            "city": "Owasso",
            "state": "OK",
            "country_code": "US",
            "postal_code": "740556638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.