Individual provider Active NPI

Alison Marie Reynolds, AUD

  • Audiologist
  • Cary, NC
National Provider Identifier
1104667492
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
30002901 Issued in NC
Practice address
940 SE Cary Pkwy Ste 104
Cary, NC 27518-7417
Phone
(919) 626-2998
Fax
(877) 771-3406
NPI assigned
Jun 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 30002901 NC
Audiologist 231H00000X 30002901 NC Primary

Addresses

Primary practice location

940 SE Cary Pkwy Ste 104
Cary, NC 27518-7417

Mailing address

5041 Executive Dr Ste 100
Morehead City, NC 28557-2507
Phone (252) 773-0636

Other practice location 1

5041 Executive Dr Ste 100
Morehead City, NC 28557-2507
Phone (252) 773-0636

Other practice location 2

2797 Charles Blvd
Greenville, NC 27858-5933
Phone (252) 773-0636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240628001523 NC Practitioner - Qualified Audiologist 0345784542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Coast Hearing and Balance IncGroup PAC ID 2769607449, 9 clinicians

Practice addresses (Care Compare)

5041 Executive Dr
Suite 100
Morehead City, NC 28557-2507
Phone (252) 773-0636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30002901NCMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
East Coast Hearing AIDS Audiologist CurrentSince Jun 4, 2024 Accepting new patients
East Coast Hearing and Balance, Inc. Audiologist CurrentSince Jun 4, 2024 Accepting new patients

Locations

940 SE Cary Pkwy
Ste 104
Cary, NC 27518
Phone (919) 344-0180

2797 Charles Blvd
Greenville, NC 27858
Phone (252) 756-6031

5041 Executive Dr
Ste 100
Morehead City, NC 28557
Phone (252) 773-0636

1706 US Highway 70 E
Ste D
New Bern, NC 28560
Phone (252) 773-0636

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1104667492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5041 EXECUTIVE DR STE 100",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572507",
            "telephone_number": "252-773-0636",
            "fax_number": "877-771-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 SE CARY PKWY STE 104",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187417",
            "telephone_number": "919-626-2998",
            "fax_number": "877-771-3406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5041 Executive Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Morehead City",
            "state": "NC",
            "postal_code": "285572507",
            "country_code": "US",
            "telephone_number": "252-773-0636",
            "fax_number": "877-771-3406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2797 Charles Blvd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278585933",
            "country_code": "US",
            "telephone_number": "252-773-0636",
            "fax_number": "877-771-3406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ALISON",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NC",
            "license": "30002901",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "30002901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.