NPIMap

Organization Active NPI

Heard It Through the Grapevine Audiology, PC

  • Audiologist
  • Southlake, TX
National Provider Identifier
1891815759
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
51647 Issued in TX
Legal business name
HEARD IT THROUGH THE GRAPEVINE AUDIOLOGY, PC
Practice address
190 S Peytonville Ave Ste 120
Southlake, TX 76092-6937
Phone
(817) 488-1637
Fax
(817) 488-2854
NPI assigned
Apr 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Authorized official

Name
Dr. Tara L Wheeler, AU.D.NPI 1003936949
Title
Audiologist
Phone
(817) 488-1637

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: 193200000X MULTI-SPECIALTY GROUP 231H00000X 51647 TX Primary

Addresses

Primary practice location

190 S Peytonville Ave Ste 120
Southlake, TX 76092-6937

Mailing address

190 S Peytonville Ave Ste 120
Southlake, TX 76092-6937
Phone (817) 488-1637

Other names 1

  • Grapevine Audiology Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080229000098 TX Part B Supplier - Clinic/Group Practice 9335223312 Receives reassigned benefits from 4 practitioners
Practice locations: Grapevine, TX

National Provider Directory

National Provider Directory

Locations

2260 Pool Rd
Ste 300
Grapevine, TX 76051
Phone (817) 488-1637

190 S Peytonville Ave
Ste 120
Southlake, TX 76092
Phone (817) 488-1637

Practitioners & affiliated clinicians

Practitioners 7

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": "1175385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1891815759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 S PEYTONVILLE AVE STE 120",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926937",
            "telephone_number": "817-488-1637",
            "fax_number": "817-488-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 S PEYTONVILLE AVE STE 120",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926937",
            "telephone_number": "817-488-1637",
            "fax_number": "817-488-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARD IT THROUGH THE GRAPEVINE AUDIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-01",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "817-488-1637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grapevine Audiology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Grapevine Audiology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.