Individual provider Active NPI

Nicolette Lea Butler, AU.D.

  • Audiologist
  • Anchorage, AK
National Provider Identifier
1326537804
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
1005 E Dimond Blvd Ste 3
Anchorage, AK 99515-2057
Phone
(907) 522-4357
NPI assigned
May 9, 2018
Last updated
May 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

1005 E Dimond Blvd Ste 3
Anchorage, AK 99515-2057

Mailing address

1005 E Dimond Blvd Ste 3
Anchorage, AK 99515-2057
Phone (907) 522-4357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200214001778 VA Practitioner - Qualified Audiologist 2062766322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hearing Assessment Center, LLCGroup PAC ID 6608017660, 6 clinicians

Practice addresses (Care Compare)

493 Blackwell Rd
Suite 311
Warrenton, VA 20186-2628
Phone (504) 341-7112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Assessment Center LLC Audiologist CurrentSince Sep 21, 2019 Accepting new patients
Alaska Hearing Help Ctr Inc Past Accepting new patients
Alaska Hears LLC Audiologist PastSince May 11, 2015 Accepting new patients
Fauquier Hearing Services PLLC PastSince Sep 21, 2019 Accepting new patients

Locations

493 Blackwell Rd
Ste 311
Warrenton, VA 20186
Phone (504) 341-7112

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1326537804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 E DIMOND BLVD STE 3",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152057",
            "telephone_number": "907-522-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E DIMOND BLVD STE 3",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152057",
            "telephone_number": "907-522-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "NICOLETTE",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.