Individual provider Active NPI

Nicole Taylor Smith, AUD

  • Audiologist
  • Shawnee, OK
National Provider Identifier
1265274682
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
6237 Issued in OK
Practice address
3954 N Kickapoo Ave Ste 5
Shawnee, OK 74804-1698
Phone
(405) 273-6203
NPI assigned
Jun 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 6237 OK Primary

Addresses

Primary practice location

3954 N Kickapoo Ave Ste 5
Shawnee, OK 74804-1698

Mailing address

3954 N Kickapoo Ave Ste 5
Shawnee, OK 74804-1698
Phone (405) 273-6203

Other names 1

  • Nicole Taylor Lueker Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240625003435 OK Practitioner - Qualified Audiologist 6608310198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hearuss LLCGroup PAC ID 3072050079, 2 clinicians

Practice addresses (Care Compare)

3954 N Kickapoo Ave
Suite 5
Shawnee, OK 74804-1635
Phone (405) 273-6203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hearuss LLC Audiologist CurrentSince Apr 1, 2025 Accepting new patients
Boogers R US PLLC CurrentSince Jun 12, 2024 Accepting new patients
Hearing Health Care Inc Audiologist CurrentSince Apr 1, 2025 Accepting new patients

Locations

730 Finley Dr
Ada, OK 74820
Phone (580) 421-6470

415 W Guy Ave
Ofc
Pauls Valley, OK 73075
Phone (580) 421-6470

3954 N Kickapoo Ave
Ste 5
Shawnee, OK 74804
Phone (405) 273-6203

Organizations & group practices 3

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": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1265274682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3954 N KICKAPOO AVE STE 5",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041698",
            "telephone_number": "405-273-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3954 N KICKAPOO AVE STE 5",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041698",
            "telephone_number": "405-273-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICOLE",
        "middle_name": "TAYLOR",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-07",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OK",
            "license": "6237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "LUEKER",
            "middle_name": "TAYLOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.