CANDICE BOURGEOIS ODOM (NPI# 1174794192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174794192 |
| Entity Type | Individual |
| Full Name | CANDICE BOURGEOIS ODOM |
| Other Name | CANDICE BOURGEOIS |
| Credential | M.S., CCC/A |
| Practice Address |
18648 Mckay Dr Suite 120 Humble TX 77338-5723 |
| Mailing Address |
10740 N Gessner Dr Ste 310 Houston TX 77064-1240 |
| Practice Telephone | 2815482626 |
| Practice Fax Number | 2815481659 |
| Mailing Telephone | 2818970416 |
| Mailing Fax Number | 2818908890 |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2014-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 51570 | TX | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | 51570 | TX | Speech, Language and Hearing Service Providers |
| Street Address |
18648 MCKAY DR SUITE 120 |
| City | HUMBLE |
| State | TX |
| Zip Code | 77338-5723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679561021 | Robert D. Hoffman | Otolaryngology | 18648 Mckay Dr, Ste 120, Humble, TX 77338-4263 | 2005-10-10 |
| 1578989885 | Chizi Okpobiri | Pharmacist | 18648 Mckay Dr, Suite 110, Humble, TX 77338-5723 | 2014-03-11 |
| 1952748063 | Maria Theresa Catacutan Garcia | Pharmacist | 18648 Mckay Dr, Suite 110, Humble, TX 77338-5716 | 2013-05-30 |
| 1386923647 | Summer Medlin Mutombo | Physical Therapist | 18648 Mckay Dr, Humble, TX 77338 | 2011-08-04 |
| 1457668626 | Santiago Segurola | Internal Medicine | 18648 Mckay Dr, 220, Humble, TX 77338-5716 | 2010-09-08 |
| 1104023993 | Yamileth Del Carmen Nicolau Cleghorn | Otolaryngology | 18648 Mckay Dr, Ste 120, Humble, TX 77338 | 2007-06-27 |
| 1346336526 | Sunita Rumalla | Internal Medicine | 18648 Mckay Dr, 220, Humble, TX 77338-5716 | 2006-10-05 |
| 1477667186 | Northeast Medical Associates | Internal Medicine | 18648 Mckay Dr, 220, Humble, TX 77338-5716 | 2006-08-18 |
| 1184648701 | Srinivas Kumar Rumalla | Internal Medicine | 18648 Mckay Dr, 220, Humble, TX 77338-5716 | 2006-07-27 |
| 1639113970 | Anil A Dara | Internal Medicine | 18648 Mckay Dr, Suite# 100, Humble, TX 77338-5716 | 2006-06-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033690 | Daniel, Max & Marcandrea, LLC | Optometrist | 9475 Fm 1960, Humble, TX 77338 | 2020-11-03 |
| 1942818240 | Karla Marize Howard | Nurse Practitioner | 18980 W. Memorial Dr. Suite 100 Plaza 2, Humble, TX 77338 | 2020-07-22 |
| 1902437981 | Houston Mint Dentistry, Pllc | Dentist | 9509 Fm 1960 Ste 200, Humble, TX 77338 | 2020-01-29 |
| 1053957514 | Sherrie Conn | Technician | 20430 Moon Walk Dr, Humble, TX 77338 | 2019-11-20 |
| 1235772450 | Madeline Rigler | Dietitian, Registered | 18980 N Memorial Dr Ste 100, Humble, TX 77338 | 2019-10-21 |
| 1982254025 | Daira Lynn Springer | Registered Nurse | 18980 W Memorial Dr., Suite 100, Humble, TX 77338 | 2019-09-19 |
| 1306494687 | Strategic Development & Instruction | Counselor | 9802 Farm To Market 1960 Bypass, Humble, TX 77338 | 2019-08-29 |
| 1124689732 | Caroline Elizabeth Le | Dentist | 9490 Farm To Market 1960 Bypass Rd W, Suite 700, Humble, TX 77338 | 2019-06-25 |
| 1699246181 | Deerbrook Asc LLC | Clinic/Center | 18450 Hwy 59 Suite 101-b, Humble, TX 77338 | 2018-12-10 |
| 1760950141 | Mckay Health Care LLC | Skilled Nursing Facility | 19279 Mckay Dr., Humble, TX 77338 | 2018-11-05 |
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| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720235138 | Jennifer Kay Redford-webb | Audiologist | 18648 Mckay Dr Ste 120, Humble, TX 77338-5724 | 2008-08-27 |
| 1881884575 | Kathleen Marie Strafuss | Audiologist | 18525 W Lake Houston Pkwy Ste 102a, Humble, TX 77346-3446 | 2007-07-28 |
| 1356827976 | Laura Sayre Neff | Audiologist | 18648 Mckay Dr Ste 120, Humble, TX 77338-5724 | 2018-07-17 |
| 1578962999 | Jack Jones Hearing Centers, Inc. | Audiologist | 1702 1st St E, Ste. F, Humble, TX 77338-5233 | 2014-08-21 |
| 1174874580 | Connect Hearing, Inc | Audiologist | 1702 1st St E, Suite F, Humble, TX 77338-5233 | 2012-09-25 |
| 1477700896 | San Antonio Audiology, Inc | Audiologist | 1906 Treble Dr, Suite 7, Humble, TX 77338-5285 | 2008-08-27 |
| 1275709875 | Temeka Stewart Ford | Audiologist | 18525 W Lake Houston Pkwy, Suite 102-a, Humble, TX 77346-3458 | 2008-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386969 | Holly M Conradt | Audiologist | 4001 W 15th St Ste 225, Plano, TX 75093-5838 | 2020-11-04 |
| 1841891280 | Honor Audiology, LLC | Audiologist | 1807 Cypress Creek, Ste 106, Ceder Park, TX 78613 | 2020-11-03 |
| 1386241701 | Melanie Marie Mcqueen | Audiologist | 3010 Williams Dr Ste 108, Georgetown, TX 78628-2748 | 2020-10-08 |
| 1477150878 | Abigail Harkey | Audiologist | 4315 James Casey St # 300, Austin, TX 78745-3364 | 2020-10-08 |
| 1831706175 | Monkey Ears, LLC | Audiologist | 1140 N Kimball Ave, Southlake, TX 76092-5569 | 2020-09-30 |
| 1578175980 | Audrey Breanne Hiner | Audiologist | 8731 Katy Fwy Ste 200, Houston, TX 77024-1735 | 2020-08-18 |
| 1609494855 | Acro Audiology Hearing Care Center | Audiologist | 540 Oak Centre Dr Ste 220, San Antonio, TX 78258-3937 | 2020-07-13 |
| 1629696562 | Hanna Patel | Audiologist | 11661 Preston Rd Ste 131, Dallas, TX 75230-6191 | 2020-07-07 |
| 1699399667 | Maryann Flores Zurrica | Audiologist | 2101 S. Cynthia, Plex A, Mcallen, TX 78503 | 2020-06-04 |
| 1750905287 | Holly Skinner | Audiologist | 12600 Lockhart Dr, Denton, TX 76207-1760 | 2020-06-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.