Lisa Wildmo, AuD

Public-record details

Address

1318 Memorial Dr, Ste 201, Bryan, TX 77802

Phone

(979) 776-2088

Listed under

Audiologists, Hearing aid fitting & sales, Individual clinicians

NPI

1881699007

NPI status

Active in the NPPES registry

Provider type

Individual provider

Registered specialty (self-reported taxonomy)

Audiologist-Hearing Aid Fitter (237600000X)

Credentials listed

AuD

License number on NPI record

51242 (TX)

NPI first issued

Jun 15, 2005

NPI record last updated

Jul 13, 2026

NPI 1881699007 is active in the federal NPPES registry (CMS); license 51242 (TX) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-21.

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What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an individual clinician. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Audiologist-Hearing Aid Fitter is a single NPPES category that covers both audiologists and hearing aid fitters; the credentials and license show which applies.

View NPI 1881699007 in the official registry ↗