Marsha Diane McClean, AUDIOLOGIST

Primary specialty

AudiologistTaxonomy code 231H00000X

License

50429 Issued in TX

Practice address

12001 South Fwy #201
Burleson, TX 76028

Phone

(817) 293-9009

Fax

(817) 293-9013

NPI assigned

Apr 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1932329497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 MARTEL AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761031411",
            "telephone_number": "817-293-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 SOUTH FWY #201",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "76028",
            "telephone_number": "817-293-9009",
            "fax_number": "817-293-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLEAN",
        "first_name": "MARSHA",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "AUDIOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "50429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP #CONNECTED WITH PRECEEDING PTAN",
            "identifier": "00406U",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE AUDIOLOGY LICENSE",
            "identifier": "50429",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICARE PTAN WITHIN GROUP",
            "identifier": "8L10430",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronica Maul
• Wai Lynn Maung, M.D
• Alexus Mayo, RDH, OMT
• Heather N McCarley, SLP
• Lanna B McClain, MD
• Devon Elise McClurg, DMD
• Donald L McCoy
• Evett Monique McCoy, PTA
• Kimberlee Hope McCoy
• Karen McFarland, RN

• Audiologist in Burleson, TX
• Providers in Burleson, TX by specialty
• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.