Individual provider Active NPI

Nicole Frances Klaips-Willis, HIS

  • Hearing Instrument Specialist
  • Elizabethtown, PA
National Provider Identifier
1164290789
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
F03915 Issued in PA
Practice address
1255 S Market St Ste 102
Elizabethtown, PA 17022-2903
Phone
(717) 492-9799
NPI assigned
Dec 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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 F03915 PA Primary

Addresses

Primary practice location

1255 S Market St Ste 102
Elizabethtown, PA 17022-2903

Mailing address

1255 S Market St Ste 102
Elizabethtown, PA 17022-2903
Phone (717) 492-9799

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
F03915PAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Jul Hearing Aid Solutions, LLC Hearing Instrument Specialist CurrentSince Dec 17, 2023 Accepting new patients

Locations

1255 S Market St
Ste 102
Elizabethtown, PA 17022
Phone (717) 492-9799

Organizations & group practices 1

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": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1164290789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 S MARKET ST STE 102",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222903",
            "telephone_number": "717-492-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 S MARKET ST STE 102",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222903",
            "telephone_number": "717-492-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAIPS-WILLIS",
        "first_name": "NICOLE",
        "middle_name": "FRANCES",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "PA",
            "license": "F03915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.