Active NPI
David Nelson
- Assistive Technology Supplier Audiologist
- Williamsville, NY
National Provider Identifier
1285841726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Supplier Audiologist
- Practice address
- 1150 Youngs Rd
Suite 204
Williamsville, NY 14221-8053 - Phone
- (716) 633-7210
- NPI assigned
- May 16, 2007
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 001439 | NY | |
| Assistive Technology Practitioner Audiologist | 231HA2400X | |||
| Assistive Technology Supplier Audiologist | 231HA2500X | Primary | ||
| Audiologist-Hearing Aid Fitter | 237600000X | 14000004855 | NY |
Addresses
Primary practice location
1150 Youngs Rd
Suite 204
Williamsville, NY 14221-8053
Mailing address
1150 Youngs Rd
Suite 204
Williamsville, NY 14221-8053
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01720410 | Medicaid | NY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14000004855 | NY | MD | Audiologist-Hearing Aid Fitter |
Interoperability endpoints
- david.nelson.1@20310.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist-Hearing Aid Fitter
- Williamsville, NY
- NPI 1609083138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1285841726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 YOUNGS RD",
"address_2": "SUITE 204",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142218053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 YOUNGS RD",
"address_2": "SUITE 204",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142218053",
"telephone_number": "716-633-7210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "001439",
"primary": false
},
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "231HA2500X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Supplier",
"state": null,
"license": null,
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NY",
"license": "14000004855",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01720410",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.