Individual provider Active NPI

Nicole Alana Kehres, M.S.

  • Audiologist
  • Solon, OH
National Provider Identifier
1538403308
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
03067 Issued in OH
Practice address
33790 Bainbridge Rd Ste 102
Solon, OH 44139-2982
Phone
(440) 600-7151
Fax
(419) 524-4617
NPI assigned
Nov 19, 2012
Last updated
Jun 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 03067 OH Primary

Addresses

Primary practice location

33790 Bainbridge Rd Ste 102
Solon, OH 44139-2982

Mailing address

33790 Bainbridge Rd Ste 102
Solon, OH 44139-2982
Phone (440) 287-7463

Other identifiers 1

IdentifierTypeStateIssuer
A01301OtherOHAUDIOLOGIST

Other names 1

  • Nikki Alana Rhodes Former name

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
03067OHMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1538403308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33790 BAINBRIDGE RD STE 102",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392982",
            "telephone_number": "440-287-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33790 BAINBRIDGE RD STE 102",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392982",
            "telephone_number": "440-600-7151",
            "fax_number": "419-524-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHRES",
        "first_name": "NICOLE",
        "middle_name": "ALANA",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "03067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGIST",
            "identifier": "A01301",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKKI",
            "last_name": "RHODES",
            "middle_name": "ALANA",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Solon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.