Organization Active NPI

Nichols Hearing and Audiology

  • Audiology Assistant
  • Winston Salem, NC
National Provider Identifier
1154074359
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiology AssistantTaxonomy code 2355A2700X
Legal business name
NICHOLS HEARING AND AUDIOLOGY
Practice address
3640 Westgate Center Cir Ste B
Winston Salem, NC 27103-3056
Phone
(336) 842-3437
NPI assigned
Jan 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Authorized official

Name
Anna Nichols, AU.D.NPI 1265713150
Title
Audiologist/Owner
Phone
(336) 842-3437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiology AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 2355A2700X Primary

Addresses

Primary practice location

3640 Westgate Center Cir Ste B
Winston Salem, NC 27103-3056

Mailing address

3640 Westgate Center Cir Ste B
Winston Salem, NC 27103-3056
Phone (336) 842-3437

Other names 1

  • Nichols Hearing and Audiology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220128001800 NC Part B Supplier - Clinic/Group Practice 2668864455 Receives reassigned benefits from 1 practitioner
Practice locations: Winston Salem, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1154074359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 WESTGATE CENTER CIR STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033056",
            "telephone_number": "336-842-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 WESTGATE CENTER CIR STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033056",
            "telephone_number": "336-842-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLS HEARING AND AUDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
        "authorized_official_telephone_number": "336-842-3437",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "2355A2700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Audiology Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nichols Hearing and Audiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.