Individual provider Active NPI

Nancy B Gillispie, AUD

  • Audiologist
  • Sumerco, WV
National Provider Identifier
1053538728
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A0212 Issued in WV
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, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
A0212WVMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Hearing Solutions CurrentSince May 9, 2021 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.

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.

Verify at the official NPI Registry.