Nicki Maryann Mulford, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000062 Issued in MI

Practice address

1634 Gull Rd
Suite1
Kalamazoo, MI 49048-1632

Phone

(269) 343-2601

NPI assigned

Sep 26, 2006

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1447351218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 HAYMAC DR",
            "city": "PARCHMENT",
            "state": "MI",
            "postal_code": "490041733",
            "telephone_number": "269-382-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 GULL RD",
            "address_2": "SUITE1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481632",
            "telephone_number": "269-343-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULFORD",
        "first_name": "NICKI",
        "middle_name": "MARYANN",
        "name_prefix": "Miss",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4793848",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4678265",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasper Mukwada, FNP
• Lauren Anne Mulcahy
• Jennifer Mulder, LMSW
• Keith W Mulder, MD
• Storm Mulder
• Ashton Mullin
• Shawna Mulvihill, PT, DPT
• Thomas Muma, PHARMD
• Kristy Lynn Mumby
• Crystal Mumford, PA

• Audiologist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.