Nicole Stephanie Smith, AU.D., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

577-156 Issued in WI

Practice address

2215 E Clairemont Ave
Suite 2
Eau Claire, WI 54701-4772

Phone

(715) 831-0289

Fax

(715) 831-4722

NPI assigned

Aug 1, 2012

Last updated

May 10, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Everclear Hearing ProductsGroup PAC ID 4385911908, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Everclear Hearing Products

  • Hearing Instrument Specialist
  • Eau Claire, WI
  • NPI 1073991543
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1053667667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 E CLAIREMONT AVE",
            "address_2": "SUITE 2",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014772",
            "telephone_number": "715-831-0289",
            "fax_number": "715-831-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 E CLAIREMONT AVE",
            "address_2": "SUITE 2",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014772",
            "telephone_number": "715-831-0289",
            "fax_number": "715-831-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICOLE",
        "middle_name": "STEPHANIE",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WI",
            "license": "577-156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Jaquette Smith, RN, OCN
• Jamie Ann Smith, DNP, FNP-C
• Joyce A Smith, NP
• Krystal R Smith, MS, LPC
• Michael J Smith, M.D.
• Peter M Smith, PHARMD
• Randal Mark Smith, DPH
• Shaughnelene Smith, DO
• Nathan E Smithberg, MD
• Anna Jane Smugala, APNP

• Audiologist in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Audiologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.