Nicole Marie Bahamondes Gore, AU.D

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1859 Issued in TN

Practice address

9430 Park West Blvd Ste 330
Knoxville, TN 37923-4203

Phone

(865) 693-6065

NPI assigned

Apr 19, 2018

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

Enrolled in TN

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tennessee Ear, Nose and Throat Consultants, PCGroup PAC ID 5092763532, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Tennessee Ear, Nose & Throat Consultants, PC

  • Otolaryngology Physician
  • Knoxville, TN
  • NPI 1255352266

  Audiologist

  Medicare reassignment Care Compare group NPD
• Otolaryngology Center of East Tennessee PC

  • Otolaryngology Physician
  • Maryville, TN
  • NPI 1639197593
  NPD (past)

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1275020711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9430 PARK WEST BLVD STE 330",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234203",
            "telephone_number": "865-693-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 PARK WEST BLVD STE 330",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234203",
            "telephone_number": "865-693-6065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2414 Chambliss Ave NW",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373113879",
            "country_code": "US",
            "telephone_number": "423-472-6581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORE",
        "first_name": "NICOLE",
        "middle_name": "MARIE BAHAMONDES",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "1859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dezmere Maria Gordon
• John Gordon, M.D.
• Paul Richard Gordon, D.D.S.
• Sarah Gordon, PHARMD
• Robin Hope Gordy
• Jadeleize Gormley
• James E. Gorney, PH.D.
• Marcin Tomasz Gornisiewicz, M.D.
• Regena L Gosnell, APN
• Anne M. Goss, LCSW

• Audiologist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Audiologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.