Ellen Alvarez Frederick, M AUD
Individual provider Active NPI Audiologist · Cary, NC
NPI 1376532044 · NPPES record last updated Nov 10, 2014
Key facts
- NPI
- 1376532044
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 10852 (NC)
- Practice address
- 226 Ashville Ave
Suite 10
Cary, NC 27518-6660 - Phone
- (919) 803-8618
- Fax
- (919) 803-8638
- NPI assigned
- Oct 17, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bright Audiology and Speech Inc
Practice addresses (Care Compare)
1620 S 3Rd St
Sanford, NC 27330-5662
Phone (919) 774-3277
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251121004262 | NC | Practitioner - Qualified Audiologist | 3678526084 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10852 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Audiology and Speech Inc. | Audiologist | Current |
Accepting new patients |
| Accuquest Hearing Center, LLC | Past | Accepting new patients | |
| Chesapeake Hearing Centers Inc | Audiologist | Past |
Accepting new patients |
Locations
1620 S 3rd St
Sanford, NC 27330
Phone (919) 774-3277
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 00736 | MD | |
| Audiologist | 231H00000X | 10852 | NC | Yes |
Addresses
Primary practice location
226 Ashville Ave
Suite 10
Cary, NC 27518-6660
Mailing address
226 Ashville Ave
Suite 10
Cary, NC 27518-6660
Phone (919) 803-8618
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61142901 | Other | CAREFIRST BCBS | |
| 6331959 | Other | CIGNA |
Other names
- Ellen Alvarez
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2014. 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.