Active NPI
Dana Alise Nolen, AU.D.
- Audiologist
- Middletown, OH
National Provider Identifier
1508926791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A-01174
- Practice address
- 1040A Summitt Dr
Middletown, OH 45042-3400 - Phone
- (513) 422-6516
- Fax
- (516) 422-5199
- NPI assigned
- Dec 11, 2006
- 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 | 231H00000X | A-01174 | OH | Primary |
Addresses
Primary practice location
1040A Summitt Dr
Middletown, OH 45042-3400
Mailing address
1040A Summitt Dr
Middletown, OH 45042-3400
Phone (513) 422-6516
Other practice location 1
1044 Summitt Dr
Middletown, OH 45042-3400
Phone (513) 422-6516
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4107242 | Other | OH | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1040 A Summit Dr
Middletown, OH 45042-3400
Phone (513) 422-6516
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-01174 | OH | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grupenhof Enterprises, LLC | Audiologist | Current | Accepting new patients |
Locations
1044 Summit Dr
Middletown, OH 45042
Phone (513) 422-6516
1040A Summit Dr
Middletown, OH 45042
Phone (513) 422-6516
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1508926791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040A SUMMITT DR",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450423400",
"telephone_number": "513-422-6516",
"fax_number": "516-422-5199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040A SUMMITT DR",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450423400",
"telephone_number": "513-422-6516",
"fax_number": "516-422-5199"
}
],
"practiceLocations": [
{
"address_1": "1044 Summitt Dr",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "OH",
"postal_code": "450423400",
"country_code": "US",
"telephone_number": "513-422-6516",
"fax_number": "516-422-5199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOLEN",
"first_name": "DANA",
"middle_name": "ALISE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A-01174",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "4107242",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.