Individual provider Active NPI

Nicole Michelle Morris, AUD.

  • Audiologist
  • Sierra Vista, AZ
National Provider Identifier
1396158762
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
DA#8766 Issued in AZ
Practice address
1989 S. Frontage Rd.
Audiology Hearing and Balance Services
Sierra Vista, AZ 85602
Phone
(520) 458-3383
NPI assigned
Jun 3, 2014
Last updated
Feb 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X DA#8766 AZ Primary

Addresses

Primary practice location

1989 S. Frontage Rd.
Audiology Hearing and Balance Services
Sierra Vista, AZ 85602

Mailing address

157 N Coronado Dr Ste B
Sierra Vista, AZ 85635-6361
Phone (520) 459-1529

Other identifiers 1

IdentifierTypeStateIssuer
1396158762MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DA#8766AZMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1396158762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 N CORONADO DR STE B",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856356361",
            "telephone_number": "520-459-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 S. FRONTAGE RD.",
            "address_2": "AUDIOLOGY HEARING AND BALANCE SERVICES",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "85602",
            "telephone_number": "520-458-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "NICOLE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "AUD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA#8766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396158762",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.