Kimberly McNicholl, AUD

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

003118 Issued in NY

Practice address

267 E Main St Ste B1
Smithtown, NY 11787-2848

Phone

(631) 360-3222

NPI assigned

Aug 16, 2022

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

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 and National Provider Directory roles.

• Hearing Health PA, LLC

  • Hearing Aid Equipment
  • Paoli, PA
  • NPI 1376962811

  Audiologist-Hearing Aid Fitter

  NPD

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1245958339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 E MAIN ST STE B1",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872848",
            "telephone_number": "631-360-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 E MAIN ST STE B1",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872848",
            "telephone_number": "631-360-3222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "285 Sills Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "East Patchogue",
            "state": "NY",
            "postal_code": "117724869",
            "country_code": "US",
            "telephone_number": "631-207-1119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNICHOLL",
        "first_name": "KIMBERLY",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "003118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracey Cora McKenzie, REGISTERED NURSE
• Ann Marie M McKuhan, CF-SLP
• Regina Marie McLean, MS PT
• Patricia L McMahon, RN
• Connor McMurray, DPT
• Tara McTiernan
• Brendan Meade
• Meadows Nuclear Spect Imaging, PC
• Ashley J Meccariello, CNM
• Med Tech Medical Diagnostics PC

• Audiologist-Hearing Aid Fitter in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Audiologist-Hearing Aid Fitter in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.