Active NPI
Ryleigh Breanna Prickett, AU.D.
- Audiologist-Hearing Aid Fitter
- Boaz, AL
National Provider Identifier
1477237287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 1337A
- Practice address
- 602 Corley Ave
Boaz, AL 35957-5952 - Phone
- (256) 571-8450
- Fax
- (256) 840-4584
- NPI assigned
- Jun 12, 2023
- Last updated
- Jun 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 1337A | AL | Primary |
Addresses
Primary practice location
602 Corley Ave
Boaz, AL 35957-5952
Mailing address
602 Corley Ave
Boaz, AL 35957-5952
Phone (256) 571-8450
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1337A | AL | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1477237287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 CORLEY AVE",
"city": "BOAZ",
"state": "AL",
"postal_code": "359575952",
"telephone_number": "256-571-8450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 CORLEY AVE",
"city": "BOAZ",
"state": "AL",
"postal_code": "359575952",
"telephone_number": "256-571-8450",
"fax_number": "256-840-4584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICKETT",
"first_name": "RYLEIGH",
"middle_name": "BREANNA",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-12",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "AL",
"license": "1337A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boaz, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.