Individual provider Active NPI

Brettelyn Knell Little

  • Audiologist
  • Durham, NC
National Provider Identifier
1184240053
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
14265 Issued in NC
Practice address
1515 W NC Highway 54 Ste 100
Durham, NC 27707-5575
Phone
(919) 489-0995
NPI assigned
Jun 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 14265 NC Primary

Addresses

Primary practice location

1515 W NC Highway 54 Ste 100
Durham, NC 27707-5575

Mailing address

1515 W NC Highway 54 Ste 100
Durham, NC 27707-5575
Phone (919) 489-0995

Other names 1

  • Brettelyn Paige Knell Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL CounselEar

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
14265NCMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1184240053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W NC HIGHWAY 54 STE 100",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075575",
            "telephone_number": "919-489-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W NC HIGHWAY 54 STE 100",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075575",
            "telephone_number": "919-489-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "BRETTELYN",
        "middle_name": "KNELL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "14265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CounselEar",
            "affiliation": "N",
            "address_1": "1515 W Nc Highway 54 Ste 100",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277075575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRETTELYN",
            "last_name": "KNELL",
            "middle_name": "PAIGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.