Nicole K Keller, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A275 Issued in AR

Practice address

22 Sugar Creek Ctr
Bella Vista, AR 72714-3507

Phone

(479) 876-0110

Fax

(479) 876-0111

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Bella Vista Hearing Center PLLC

  • Audiologist
  • Bella Vista, AR
  • NPI 1659405132
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073647624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SUGAR CREEK CTR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727143507",
            "telephone_number": "479-876-0110",
            "fax_number": "479-876-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SUGAR CREEK CTR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727143507",
            "telephone_number": "479-876-0110",
            "fax_number": "479-876-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "NICOLE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AR",
            "license": "A275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisa Joy Johnson, L.M.T., PH.D.
• Scott Johnson, PTA
• Tara Joiner, LPC
• Kim David Keisner, D.D.S.
• Kyle Ryan Keith
• Kelly Dundon PLLC
• Mary K Kerby, APN
• Jessica Dawn Kessler, PT
• Sydney Alexis Key, ATC
• Bilquis Imtiaz Khot, MD

• Audiologist in Bella Vista, AR
• Providers in Bella Vista, AR by specialty
• Audiologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.