Briana Dornan Nichols, AUD CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

681 Issued in MA

Practice address

300 Longwood Ave
Lo-367
Boston, MA 02115-5724

Phone

(617) 355-6417

Fax

(617) 730-0611

NPI assigned

Mar 7, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Briana Kelly Dornan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Childrens Hospital Boston

  • Children's Hospital
  • Boston, MA
  • NPI 1770741530
  NPD (past)

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1346410180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "address_2": "LO-367",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-355-6417",
            "fax_number": "617-730-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "address_2": "LO-367",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-355-6417",
            "fax_number": "617-730-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "BRIANA",
        "middle_name": "DORNAN",
        "name_prefix": "Dr.",
        "credential": "AUD CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-07",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANA",
            "last_name": "DORNAN",
            "middle_name": "KELLY",
            "prefix": "DR.",
            "credential": "AUD CCCA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ann Marie Nichols-Stout, CRNA
• Allison Leigh Nichols, PT, DPT
• Angela Simone Nichols, M.D.
• Anthony Charles Nichols, M.D.
• Bethany Rose Nichols, NCSP
• Caitlin Nichols, MD
• Cynthia Ann Nichols
• Dominica Nichols, RD, LDN
• Emily Nichols, PA-C
• Hunter James Nichols, PHARMD

• Audiologist in Boston, MA
• Providers in Boston, MA by specialty
• Audiologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.