Active NPI
Nicole Danielle Surian, M.S.
- Audiologist
- Mobile, AL
National Provider Identifier
1265468953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A2995
- Practice address
- 1504 Spring Hill Ave
Mobile, AL 36604-3207 - Phone
- (251) 219-3954
- NPI assigned
- Jun 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A2995 | MS | Primary |
Addresses
Primary practice location
1504 Spring Hill Ave
Mobile, AL 36604-3207
Mailing address
825 Rustwood Dr
Biloxi, MS 39532-4216
Phone (228) 217-5936
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A2995 | MS | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265468953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 RUSTWOOD DR",
"city": "BILOXI",
"state": "MS",
"postal_code": "395324216",
"telephone_number": "228-217-5936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 SPRING HILL AVE",
"city": "MOBILE",
"state": "AL",
"postal_code": "366043207",
"telephone_number": "251-219-3954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURIAN",
"first_name": "NICOLE",
"middle_name": "DANIELLE",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MS",
"license": "A2995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.