SPACE CITY AUDIOLOGY PLLC
NPI 1154817344
Clinic/Center - Hearing and Speech in Houston, TX

Active since July 10, 2018
17625 EL CAMINO REAL STE 155, HOUSTON, TX 77058(281) 809-6008 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 22, 2021, Sep 5, 2018, Jul 10, 2018 (3 updates tracked since 2018).

About Space City Audiology Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPACE CITY AUDIOLOGY PLLC (NPI 1154817344) is a healthcare organization registered as a hearing and speech in Houston, Texas and active in the NPI registry since July 2018. The organization lists Jasmin Elise Auzenne, Audiologist, as its authorized official.

NPPES Registry Identity

NPI1154817344
Entity TypeOrganization
Primary Taxonomy261QH0700X
Legal Business NameSPACE CITY AUDIOLOGY PLLC
Location Address17625 EL CAMINO REAL STE 155Houston, TX 77058
Mailing Address17625 El Camino Real Ste 155Houston, TX 77058-3085 · (281) 809-6008
Organization SubpartNo
Authorized OfficialJasmin Elise AuzenneAudiologist · (281) 809-6008
Enumeration DateJuly 10, 2018
Last NPPES UpdateJanuary 22, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2021
✔ NPI 1154817344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Hearing and SpeechAmbulatory Health Care Facilities
Taxonomy Code261QH0700X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.
17625 EL CAMINO REAL STE 155, Houston, TX 77058

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Space City Audiology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Space City Audiology PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Qualified Audiologist
NPI 1700372992
17625 EL CAMINO REAL STE 155
Houston, TX 77058
(281) 809-6008
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Space City Audiology PLLC's NPI number?

The NPI number for Space City Audiology PLLC is 1154817344. It was assigned to this organization in the NPPES registry on July 10, 2018.

Where is Space City Audiology PLLC located?

Space City Audiology PLLC is located at 17625 El Camino Real Ste 155, Houston, TX 77058. The listed phone number is (281) 809-6008.

What is Space City Audiology PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Hearing and Speech, with taxonomy code 261QH0700X.

Is Space City Audiology PLLC enrolled in Medicare?

Yes. Space City Audiology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Space City Audiology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Audiologist) reassigns their Medicare billing to Space City Audiology PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Space City Audiology PLLC was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.