Individual provider Active NPI

Linda Lee Nieb

  • Audiologist
  • Phoenix, AZ
National Provider Identifier
1023155603
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD5175 Issued in AZ
Practice address
4510 N 37TH Ave # Ave85019
Phoenix, AZ 85019-3206
Phone
(602) 336-2990
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD5175 AZ Primary
Speech-Language Pathologist 235Z00000X SLPL5285 AZ

Addresses

Primary practice location

4510 N 37TH Ave # Ave85019
Phoenix, AZ 85019-3206

Mailing address

3119 W Lucia Dr
Phoenix, AZ 85085-5881
Phone (480) 242-1835

Other identifiers 1

IdentifierTypeStateIssuer
171128MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AUD5175AZMDAudiologist
SLPL5285AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Maricopa Past Accepting new patients

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1023155603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 W LUCIA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850855881",
            "telephone_number": "480-242-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 N 37TH AVE # AVE85019",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850193206",
            "telephone_number": "602-336-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEB",
        "first_name": "LINDA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "AUD5175",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLPL5285",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171128",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.