Active NPI
Anna Elizabeth Nichols, AU.D.
- Audiologist
- Winston Salem, NC
National Provider Identifier
1265713150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 9690
- Practice address
- 3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013 - Phone
- (336) 718-1642
- NPI assigned
- Sep 6, 2011
- 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 | 9690 | NC | Primary |
Addresses
Primary practice location
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Mailing address
3640 Westgate Center Cir Ste B
Winston Salem, NC 27103-3056
Phone (336) 842-3437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3640 Westgate Ctr Cir
Suite B
Winston Salem, NC 27103-3056
Phone (336) 842-3437
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9690 | NC | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nichols Hearing and Audiology | Current | Accepting new patients | |
| Hearing Clinic, Inc. | Past | Accepting new patients |
Locations
3640 Westgate Center Cir
Ste B
Winston Salem, NC 27103
Phone (336) 842-3437
Organizations & group practices 2
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.
-
- Audiology Assistant
- Winston Salem, NC
- NPI 1154074359
-
- Audiologist-Hearing Aid Fitter
- High Point, NC
- NPI 1013958529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640044800000",
"number": "1265713150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3640 WESTGATE CENTER CIR STE B",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033056",
"telephone_number": "336-842-3437",
"fax_number": "336-829-5854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 SILAS CREEK PKWY",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033013",
"telephone_number": "336-718-1642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "ANNA",
"middle_name": "ELIZABETH",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-06",
"last_updated": "2021-12-21",
"certification_date": "2021-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "9690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.