Active NPI
Rebecca B Berquist, M.S. CCC/A
- Audiologist
- Flower Mound, TX
National Provider Identifier
1982702668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 50360
- Practice address
- 2301 Olympia Dr.
Suite 300
Flower Mound, TX 75028-1855 - Phone
- (972) 539-7821
- Fax
- (972) 539-7849
- NPI assigned
- Sep 20, 2006
- 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 | 50360 | TX | Primary |
| Hearing Aid Equipment | 332S00000X | 50360 | TX |
Addresses
Primary practice location
2301 Olympia Dr.
Suite 300
Flower Mound, TX 75028-1855
Mailing address
2301 Olympia Dr
Suite 300
Flower Mound, TX 75028-1855
Phone (972) 539-7821
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50360 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297123200000",
"number": "1982702668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 OLYMPIA DR",
"address_2": "SUITE 300",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750281855",
"telephone_number": "972-539-7821",
"fax_number": "972-539-7849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 OLYMPIA DR.",
"address_2": "SUITE 300",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750281855",
"telephone_number": "972-539-7821",
"fax_number": "972-539-7849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERQUIST",
"first_name": "REBECCA",
"middle_name": "B",
"credential": "M.S. CCC/A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2011-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "50360",
"primary": true
},
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": "TX",
"license": "50360",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flower Mound, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.