Nicole Landau

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

Practice address

911 State Rte 3
Waterloo, IL 62298

Phone

(618) 844-1401

NPI assigned

Sep 29, 2023

Last updated

Sep 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Menm, LLC

  • Hearing Instrument Specialist
  • Waterloo, IL
  • NPI 1124899547
  NPD
• Miracle-Ear Centers of Arkansas

  dba Miracle-Ear

  • Hearing Instrument Specialist
  • Earth City, MO
  • NPI 1932771730
  NPD
• Las Davis Enterprises

  dba Miracle-Ear

  • Hearing Instrument Specialist
  • Waterloo, IL
  • NPI 1235624867
  NPD (past)

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1184404055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3473 RIDER TRL S",
            "city": "EARTH CITY",
            "state": "MO",
            "postal_code": "630451110",
            "telephone_number": "314-328-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 STATE RTE 3",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "62298",
            "telephone_number": "618-844-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDAU",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "2021031918",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer R Kujawski, D.C.
• Joshua D Kurth, PH.D., LPC
• Geralyn Kutz, MHP
• Christina E Lambert, FNP-BC
• Belinda Lance, RSA
• Opal Lang, RSA
• Emily Larson, MSW
• Las Davis Enterprises (Miracle-Ear)
• John Laskowski, MHP
• Natalie Lauer

• Hearing Instrument Specialist in Waterloo, IL
• Providers in Waterloo, IL by specialty
• Hearing Instrument Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.