Active NPI
Nancy B Gillispie, AUD
- Audiologist
- Sumerco, WV
National Provider Identifier
1053538728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A0212
- Practice address
- 375 Deer Run
Sumerco, WV 25567-9541 - Phone
- (304) 784-2552
- Fax
- (304) 756-3818
- NPI assigned
- Apr 20, 2007
- Last updated
- Mar 16, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A0212 | WV | Primary |
Addresses
Primary practice location
375 Deer Run
Sumerco, WV 25567-9541
Mailing address
375 Deer Run
Sumerco, WV 25567-9541
Phone (304) 784-2552
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A0212 | WV | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Hearing Solutions | Current | Accepting new patients | |
| Crigger and Associates ENT PLLC | Audiologist | Past | Accepting new patients |
Locations
2150 Childress Rd
Alum Creek, WV 25003
Phone (304) 756-9001
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist-Hearing Aid Fitter
- Alum Creek, WV
- NPI 1326622440
-
- Otolaryngology Physician
- South Charleston, WV
- NPI 1306809215
Audiologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237161600000",
"number": "1053538728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 DEER RUN",
"city": "SUMERCO",
"state": "WV",
"postal_code": "255679541",
"telephone_number": "304-784-2552",
"fax_number": "304-756-3818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 DEER RUN",
"city": "SUMERCO",
"state": "WV",
"postal_code": "255679541",
"telephone_number": "304-784-2552",
"fax_number": "304-756-3818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLISPIE",
"first_name": "NANCY",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2009-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WV",
"license": "A0212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sumerco, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.