Individual provider Active NPI

Ashley Adrienne Nichols, BC-HIS

  • Hearing Instrument Specialist
  • Laurinburg, NC
National Provider Identifier
1063986131
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
1570 Issued in NC
Practice address
915 S Main St Ste F
Laurinburg, NC 28352-4700
Phone
(910) 276-1125
Fax
(910) 338-1846
NPI assigned
Jan 11, 2019
Last updated
Oct 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 1570 NC Primary

Addresses

Primary practice location

915 S Main St Ste F
Laurinburg, NC 28352-4700

Mailing address

2501 Cottontail LN
Somerset, NJ 08873-5125
Phone (732) 960-6436

Other practice location 1

160 Pinehurst Ave Ste G
Southern Pines, NC 28387-7078
Phone (910) 246-0583

Other identifiers 1

IdentifierTypeStateIssuer
1570OtherNCBOARD CERTIFIED HEARING SPECIALIST

Other names 1

  • Ms. Ashley Adrienne Reece Former name

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
1570NCMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC Hearing Instrument Specialist CurrentSince Dec 17, 2024 Accepting new patients
A1 Affordable Hearing LLC Hearing Instrument Specialist Past Accepting new patients
Audiology Services Company USA, LLC PastSince Oct 31, 2021 Accepting new patients

Locations

915 S Main St
Ste F
Laurinburg, NC 28352
Phone (910) 276-1125

160 Pinehurst Ave
Ste G
Southern Pines, NC 28387
Phone (910) 246-0583

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

Organizations & group practices 3

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": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1063986131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 COTTONTAIL LN",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735125",
            "telephone_number": "732-960-6436",
            "fax_number": "252-689-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 S MAIN ST STE F",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283524700",
            "telephone_number": "910-276-1125",
            "fax_number": "910-338-1846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Pinehurst Ave Ste G",
            "address_purpose": "LOCATION",
            "city": "Southern Pines",
            "state": "NC",
            "postal_code": "283877078",
            "country_code": "US",
            "telephone_number": "910-246-0583",
            "fax_number": "910-246-0583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "ASHLEY",
        "middle_name": "ADRIENNE",
        "name_prefix": "Mrs.",
        "credential": "BC-HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NC",
            "license": "1570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED HEARING SPECIALIST",
            "identifier": "1570",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "REECE",
            "middle_name": "ADRIENNE",
            "prefix": "MS.",
            "credential": "BC-A HIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laurinburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.