Nicole D Samuelson, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2159 Issued in KS

Practice address

520 S Santa Fe Ave
Suite 200
Salina, KS 67401-4190

Phone

(785) 823-7225

Fax

(785) 823-1017

NPI assigned

Aug 25, 2008

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 KS

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inspire ENT and Pulmonology PAGroup PAC ID 2466405568, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Inspire ENT and Pulmonology PA

  • Otolaryngology Physician
  • Manhattan, KS
  • NPI 1891777603
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219622400000",
    "number": "1124275995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 MEADOWBROOK RD",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674015257",
            "telephone_number": "785-201-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S SANTA FE AVE",
            "address_2": "SUITE 200",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014190",
            "telephone_number": "785-823-7225",
            "fax_number": "785-823-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELSON",
        "first_name": "NICOLE",
        "middle_name": "D",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2008-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "2159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saline County Commission on Aging
• Jacelyn Salmans
• Ahmad Walid Samadzai
• Anita Sampson, LAC, KCGC
• Sams West Inc
• Victoria V Sander, LMSW
• Carlie Sanders
• Lane Sanders, DPT
• David Wesley Sanderson, PT
• Peeran D. Sandhu, M.D.

• Audiologist in Salina, KS
• Providers in Salina, KS by specialty
• Audiologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.