Individual provider Active NPI

Elaine Leatherwood, CCC-A

  • Audiologist
  • Austin, TX
National Provider Identifier
1932363231
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
50214 Issued in TX
Practice address
3705 Medical Pkwy Ste 320
Austin, TX 78705-1023
Phone
(512) 454-0392
Fax
(512) 454-6019
NPI assigned
Jul 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 50214 TX Primary

Addresses

Primary practice location

3705 Medical Pkwy Ste 320
Austin, TX 78705-1023

Mailing address

3705 Medical Pkwy Ste 320
Austin, TX 78705-1023
Phone (512) 454-0392

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090323000439 TX Practitioner - Qualified Audiologist 2264599067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler and Burns Ear Nose and Throat AssociatesGroup PAC ID 5496668238, 43 clinicians

Practice addresses (Care Compare)

3705 Medical Pkwy
Suite 320
Austin, TX 78705-1023
Phone (512) 454-0392

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50214TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Butler & Burns Ear Nose & Throat Associates CurrentSince Oct 1, 2008 Accepting new patients
Butler & Burns Ear Nose & Throat Associates CurrentSince Oct 1, 2008 Accepting new patients

Locations

3705 Medical Pkwy
Ste 320
Austin, TX 78705
Phone (512) 454-0392

1005 W San Antonio St
Lockhart, TX 78644
Phone (512) 443-5988

Interoperability endpoints

  • Direct secure messaging: eleatherwood@austinent.emadirect.md

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": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1932363231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 320",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051023",
            "telephone_number": "512-454-0392",
            "fax_number": "512-454-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 320",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051023",
            "telephone_number": "512-454-0392",
            "fax_number": "512-454-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATHERWOOD",
        "first_name": "ELAINE",
        "credential": "CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "50214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.