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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. LISA ANNE WILDMO AU.D.
NPI 1881699007
Audiologist-Hearing Aid Fitter in Bryan, TX

Active since June 15, 2005
1318 MEMORIAL DR, STE 201, BRYAN, TX 77802(979) 776-2088 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lisa Anne Wildmo Au.d. NPPES

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

DR. LISA ANNE WILDMO AU.D. (NPI 1881699007) is an individual audiologist-hearing aid fitter provider in Bryan, Texas, licensed in Texas (51242) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1881699007
Entity TypeIndividualFemale
Primary Taxonomy237600000X
Provider Legal NameDR. LISA ANNE WILDMOCredential: AU.D.
Location Address1318 MEMORIAL DR, STE 201Bryan, TX 77802-5215
Mailing Address1318 Memorial Dr, Ste 201Bryan, TX 77802-5215 · (979) 776-2088
Phone(979) 776-2088
Sole ProprietorNo
Enumeration DateJune 15, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1881699007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologist-Hearing Aid FitterSpeech, Language and Hearing Service Providers
Taxonomy Code237600000X
License✔ Licensed in TX · 51242
Definition
An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as audiologist-hearing aid fitters as opposed to states that license individuals as audiologists.
1318 MEMORIAL DR, Bryan, TX 77802
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Other Identifiers 2

Other7040537TX · Aetna
Other528479TX · Bcbs

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHELSEA LEIGH SMITH BCBA
Behavior Analyst
1318 MEMORIAL DR
BRYAN, TX 77802
Brazos County (979) 776-2872
DR. ANITA LUISA SOHN MCCORMICK PH.D.
Psychologist
1318 MEMORIAL DR
BRYAN, TX 77802
Brazos County (979) 776-2872
STEPHANIE GEROW
Behavior Analyst
1318 MEMORIAL DR
BRYAN, TX 77802
Brazos County (979) 776-2872
MRS. SHEENA NICOLE WELLS COTA
Occupational Therapy Assistant
1318 MEMORIAL DR
BRYAN, TX 77802
Brazos County (979) 776-2872
TESSA SEXTON M.S., CCC-SLP
Speech-Language Pathologist
1318 MEMORIAL DR
BRYAN, TX 77802
Brazos County (979) 776-6268
MRS. FARA DIANE GOODWYN M.ED., BCBA
Behavior Analyst
1318 MEMORIAL DR
BRYAN, TX 77802
Brazos County (979) 776-2872
KEELI MCCRACKEN OTR
Occupational Therapist
1318 MEMORIAL DR
BRYAN, TX 77802
Brazos County (979) 776-2872
MRS. CYNDI ROSE MARTINEZ M.ED., CCC/SLP
Speech-Language Pathologist
1318 MEMORIAL DR
BRYAN, TX 77802
Brazos County (979) 776-2872

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 Lisa Wildmo's NPI number?

The NPI number for Lisa Wildmo is 1881699007. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Lisa Wildmo located?

Lisa Wildmo practices at 1318 Memorial Dr Ste 201, Bryan, TX 77802. The listed phone number is (979) 776-2088.

What is Lisa Wildmo's specialty?

The primary specialty registered for this NPI is Audiologist-Hearing Aid Fitter with taxonomy code 237600000X.

When was this NPI record last updated?

The NPPES record for Lisa Wildmo was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.