Individual provider Active NPI

Evelyn Marie Williams, AU.D.

  • Audiologist
  • Houston, TX
National Provider Identifier
1992064117
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
80166 Issued in TX
Practice address
3924 N Shepherd Dr
Houston, TX 77018-6410
Phone
(713) 691-3001
Fax
(713) 691-0120
NPI assigned
May 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 80166 TX Primary

Addresses

Primary practice location

3924 N Shepherd Dr
Houston, TX 77018-6410

Mailing address

3924 N Shepherd Dr
Houston, TX 77018-6410
Phone (713) 691-3001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140325001682 TX Practitioner - Qualified Audiologist 1153552773 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80166TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Distribution, LLC CurrentSince Apr 24, 2024 Accepting new patients

Locations

1001 W Arbrook Blvd
Ste 131
Arlington, TX 76015
Phone (817) 717-6037

9684 FM 1960 Bypass Rd W
Humble, TX 77338
Phone (281) 214-2807

6715 FM 1960 Rd E
Humble, TX 77346
Phone (281) 301-1791

4747 Research Forest Dr
Ste 150
The Woodlands, TX 77381
Phone (346) 831-0670

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.

NPI Registry JSON

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1992064117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 N SHEPHERD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770186410",
            "telephone_number": "713-691-3001",
            "fax_number": "713-691-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 N SHEPHERD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770186410",
            "telephone_number": "713-691-3001",
            "fax_number": "713-691-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "EVELYN",
        "middle_name": "MARIE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.