Nicole Boullianne, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AY2652 Issued in FL

Practice address

12355 Hagen Ranch Rd Unit 604
Boynton Beach, FL 33437-4180

Phone

(561) 221-0450

Fax

(954) 827-0591

NPI assigned

Aug 30, 2022

Sex

Female

Sole proprietor

Yes

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 MA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hearsmart Audiology, LLCGroup PAC ID 9133370034, 3 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.

• Hearsmart Audiology, LLC

  • Audiologist
  • Littleton, MA
  • NPI 1538410907

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Alpaca Audiology, LLC

  • Hearing Aid Equipment
  • Washington, NC
  • NPI 1659936367

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1326768466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SOUTH ST",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015322330",
            "telephone_number": "177-425-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12355 HAGEN RANCH RD UNIT 604",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334374180",
            "telephone_number": "561-221-0450",
            "fax_number": "954-827-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULLIANNE",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin M Boshnick
• Earl Bostain
• Rojeanne Bostic
• James Cody Bothe
• Donna Bottom
• Alison Beatrice Bourke, MS, CCC-SLP
• Robert Gerald Bourque, MD
• Brittany Bove, ARNP
• Tia Nicole Bowden, ARNP
• Jim Bowen, R.PH.

• Audiologist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Audiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.