Active NPI
Heather Suzanne Dean, AU.D.
- Audiologist
- Burleson, TX
National Provider Identifier
1972881779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 80644
- Practice address
- 121 NW Ellison St Ste 101
Burleson, TX 76028 - Phone
- (817) 405-9469
- NPI assigned
- Jul 27, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD003875 | GA | |
| Audiologist | 231H00000X | 80644 | TX | Primary |
Addresses
Primary practice location
121 NW Ellison St Ste 101
Burleson, TX 76028
Mailing address
121 NW Ellison St Ste 101
Burleson, TX 76028-4739
Phone (817) 764-3077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 NW Ellison St
Suite 101
Burleson, TX 76028-4782
Phone (817) 764-3077
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80644 | TX | MD | Mental Health Counselor |
| AUD003875 | GA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burleson Audiology Clinic PLLC | Current | Accepting new patients |
Locations
121 NW Ellison St
Ste 101
Burleson, TX 76028
Phone (817) 592-9632
Organizations & group practices 1
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.
-
- Audiologist-Hearing Aid Fitter
- Burleson, TX
- NPI 1831733104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681689600000",
"number": "1972881779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 NW ELLISON ST STE 101",
"city": "BURLESON",
"state": "TX",
"postal_code": "760284739",
"telephone_number": "817-764-3077",
"fax_number": "817-754-1923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 NW ELLISON ST STE 101",
"city": "BURLESON",
"state": "TX",
"postal_code": "76028",
"telephone_number": "817-405-9469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "HEATHER",
"middle_name": "SUZANNE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-27",
"last_updated": "2023-04-17",
"certification_date": "2023-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "GA",
"license": "AUD003875",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "80644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burleson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.