Individual provider Active NPI

Nicole Pain

  • Audiologist
  • Tulsa, OK
National Provider Identifier
1295279610
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
6143 Issued in OK
Practice address
8125 E 101St St Ste 50
Tulsa, OK 74133-7245
Phone
(918) 392-7600
Fax
(405) 548-4350
NPI assigned
Dec 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 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 6143 OK Primary

Addresses

Primary practice location

8125 E 101St St Ste 50
Tulsa, OK 74133-7245

Mailing address

11500 N Portland Ave
Oklahoma City, OK 73120-4625
Phone (405) 548-4300

Other practice location 1

11500 N Portland Ave
Oklahoma City, OK 73120-4625
Phone (405) 548-4300

Other practice location 2

2272 36th Ave NW Ste 200
Norman, OK 73072-3251
Phone (405) 767-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11500 N Portland Ave
Oklahoma City, OK 73120-4625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6143OKMDEmergency Medicine Physician

Interoperability endpoints

  • Direct secure messaging: nicole.pain.1@30629.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1295279610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 N PORTLAND AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731204625",
            "telephone_number": "405-548-4300",
            "fax_number": "405-548-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8125 E 101ST ST STE 50",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337245",
            "telephone_number": "918-392-7600",
            "fax_number": "405-548-4350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11500 N Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731204625",
            "country_code": "US",
            "telephone_number": "405-548-4300",
            "fax_number": "405-548-4350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2272 36th Ave NW Ste 200",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730723251",
            "country_code": "US",
            "telephone_number": "405-767-4200",
            "fax_number": "405-548-4350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAIN",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-05",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OK",
            "license": "6143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.