Active NPI
Alexis M Nye, AUD
- Audiologist
- Durham, NC
National Provider Identifier
1528740123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 30001748
- Practice address
- 234 Crooked Creek Pkwy
Durham, NC 27713-8505 - Phone
- (269) 350-0541
- NPI assigned
- Aug 2, 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 | 231H00000X | 30001748 | NC | Primary |
Addresses
Primary practice location
234 Crooked Creek Pkwy
Durham, NC 27713-8505
Mailing address
125 Bickerstaff Rd
Clemmons, NC 27012-9053
Phone (269) 350-0541
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231101003639 | NC | Practitioner - Qualified Audiologist | 3476909086 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30001748 | NC | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1528740123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 BICKERSTAFF RD",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270129053",
"telephone_number": "269-350-0541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 CROOKED CREEK PKWY",
"city": "DURHAM",
"state": "NC",
"postal_code": "277138505",
"telephone_number": "269-350-0541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYE",
"first_name": "ALEXIS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-02",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "30001748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.