Active NPI
Angie Carlson Nacey, M.A., CCC-A
- Audiologist
- Brackenridge, PA
National Provider Identifier
1578712964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT001004L
- Practice address
- 1030 Broadview Blvd
Brackenridge, PA 15014-1176 - Phone
- (724) 224-8330
- Fax
- (724) 224-8510
- NPI assigned
- Sep 10, 2008
- Last updated
- Sep 10, 2008
- 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 | AT001004L | PA | Primary |
Addresses
Primary practice location
1030 Broadview Blvd
Brackenridge, PA 15014-1176
Mailing address
1030 Broadview Blvd
Brackenridge, PA 15014-1176
Phone (724) 224-8330
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT001004L | PA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221004800000",
"number": "1578712964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 BROADVIEW BLVD",
"city": "BRACKENRIDGE",
"state": "PA",
"postal_code": "150141176",
"telephone_number": "724-224-8330",
"fax_number": "724-224-8510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 BROADVIEW BLVD",
"city": "BRACKENRIDGE",
"state": "PA",
"postal_code": "150141176",
"telephone_number": "724-224-8330",
"fax_number": "724-224-8510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NACEY",
"first_name": "ANGIE",
"middle_name": "CARLSON",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-10",
"last_updated": "2008-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT001004L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brackenridge, PA
- Karolyn R McPeek, PT,DPT,GCS
- Elliot Morton Michel, M.D.
- Michael D Miller, MD
- Sara Montgomery, OTR/L
- Joseph Morlacci
- Neurology Associates of W PA
- One Life Wellness Company
- Parkway a.T.S., Inc (Parkway Ambulance)
- Taylor Pastovic, APRN
- Platinum Ridge PA Management, LLC (Platinum Ridge Wellness and Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.