Nicolette Lea Butler, AU.D.
Individual provider Active NPI Audiologist · Anchorage, AK
NPI 1326537804 · NPPES record last updated May 9, 2018
Key facts
- NPI
- 1326537804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- Practice address
- 1005 E Dimond Blvd Ste 3
Anchorage, AK 99515-2057 - Phone
- (907) 522-4357
- NPI assigned
- May 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hearing Assessment Center, LLC
Practice addresses (Care Compare)
493 Blackwell Rd
Suite 311
Warrenton, VA 20186-2628
Phone (504) 341-7112
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200214001778 | VA | Practitioner - Qualified Audiologist | 2062766322 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Assessment Center LLC | Audiologist | Current |
Accepting new patients |
| Fauquier Hearing Services PLLC | Past |
Accepting new patients | |
| Alaska Hears LLC | Audiologist | Past |
Accepting new patients |
| Alaska Hearing Help Ctr Inc | Past | Accepting new patients |
Locations
493 Blackwell Rd
Ste 311
Warrenton, VA 20186
Phone (504) 341-7112
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1631261 | Medicaid | AK |
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.