Individual provider Active NPI

Amy McDonough, AUD, CCC-A

  • Audiologist
  • Coppell, TX
National Provider Identifier
1871757633
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
51512 Issued in TX
Practice address
783 N Denton Tap Rd Ste 200
Coppell, TX 75019-2171
Phone
(972) 745-8400
Fax
(972) 315-9053
NPI assigned
Jul 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 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 51512 TX Primary

Addresses

Primary practice location

783 N Denton Tap Rd Ste 200
Coppell, TX 75019-2171

Mailing address

783 N Denton Tap Rd Ste 200
Coppell, TX 75019-2171
Phone (972) 745-8400

Other practice location 1

370 W Hwy 121
Suite 100
Coppell, TX 75019
Phone (972) 745-8400

Other identifiers 1

IdentifierTypeStateIssuer
51512OtherTXSTATE BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY LICENSE

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
51512TXMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
ENT for Children, P.a. PastSince Mar 11, 2025 Accepting new patients
Frisco ENT for Children, P.L.L.C. PastSince Mar 11, 2025 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1871757633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "783 N DENTON TAP RD STE 200",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192171",
            "telephone_number": "972-745-8400",
            "fax_number": "972-315-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 N DENTON TAP RD STE 200",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192171",
            "telephone_number": "972-745-8400",
            "fax_number": "972-315-9053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "370 W Hwy 121",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "75019",
            "country_code": "US",
            "telephone_number": "972-745-8400",
            "fax_number": "972-899-3609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "AMY",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY LICENSE",
            "identifier": "51512",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.