Mallory Ann Nitzel, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

344 Issued in OK

Practice address

6802 S Olympia Ave Ste 200
Tulsa, OK 74132-1826

Phone

(918) 388-9090

Fax

(918) 388-9093

NPI assigned

Jan 11, 2007

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 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ear, Nose and Throat Specialists of Tulsa, LLPGroup PAC ID 5991764094, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ear, Nose & Throat Specialists of Tulsa, LLP

  • Otolaryngology Physician
  • Tulsa, OK
  • NPI 1093873168
  Medicare reassignment Care Compare group NPD
• Audiology of Tulsa Inc

  • Audiologist
  • Tulsa, OK
  • NPI 1053500967
  NPD (past)
• Osumc Professional Services LLC

  dba OSU Medical Group

  • Medical Specialty Clinic/Center
  • Tulsa, OK
  • NPI 1922325992
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1467502377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 S OLYMPIA AVE STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741321826",
            "telephone_number": "918-388-9090",
            "fax_number": "918-388-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 S OLYMPIA AVE STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741321826",
            "telephone_number": "918-388-9090",
            "fax_number": "918-388-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITZEL",
        "first_name": "MALLORY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OK",
            "license": "344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200099890A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Kaye Nimmo
• Stacy Raye Nimmo
• Moses Nimo, PHARMACIST
• Sudha Niraula, MD
• Alison Dawn Nissen
• Samantha Nivens, APRN
• Gretchen Nix
• Justyn Nix
• Brandon Nixon, PT, DPT
• Jenna Nixon

• Audiologist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Audiologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.