Active NPI
Brandie A Nance, AUD CCCA
- Audiologist
- Athens, OH
National Provider Identifier
1548357296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A01437
- Practice address
- W174 Grover Center
Athens, OH 45701 - Phone
- (740) 589-2305
- Fax
- (740) 593-4433
- NPI assigned
- Oct 6, 2006
- Last updated
- Oct 9, 2012
- 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 | A01437 | OH | Primary |
Addresses
Primary practice location
W174 Grover Center
Athens, OH 45701
Mailing address
W174 Grover Center
Athens, OH 45701
Phone (740) 589-2305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000486914 | Other | OH | ANTHEM |
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, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
W 174 Grover Ctr
Athens, OH 45701-1367
Phone (740) 593-1404
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01437 | OH | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio University | Current | Accepting new patients | |
| Ohio University | Audiologist | Current | Accepting new patients |
Locations
174 Grover Ctr
Athens, OH 45701
Phone (740) 593-1404
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ARHI Diabetes Center @ OU-COM
- Diabetes Educator Registered Nurse
- Athens, OH
- NPI 1316148596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1548357296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W174 GROVER CENTER",
"city": "ATHENS",
"state": "OH",
"postal_code": "45701",
"telephone_number": "740-589-2305",
"fax_number": "740-593-4433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W174 GROVER CENTER",
"city": "ATHENS",
"state": "OH",
"postal_code": "45701",
"telephone_number": "740-589-2305",
"fax_number": "740-593-4433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANCE",
"first_name": "BRANDIE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "AUD CCCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A01437",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000486914",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.