Active NPI
Nicole Maynard, AU.D.
- Audiologist
- Lebanon, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A661
- Practice address
- 1 Medical Center Dr
DHMC Department of Audiology Dept. 4F
Lebanon, NH 03756-1000 - Phone
- (603) 650-8123
- Fax
- (603) 650-0052
- NPI assigned
- Jun 30, 2015
- 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 | A661 | NH | Primary |
Addresses
Primary practice location
1 Medical Center Dr
DHMC Department of Audiology Dept. 4F
Lebanon, NH 03756-1000
Mailing address
1 Medical Center Dr
DHMC Department of Audiology Dept. 4F
Lebanon, NH 03756-1000
Phone (603) 650-8123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3855 Dartmouth College Hwy
North Haverhill, NH 03774-4937
Phone (603) 787-6971
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A661 | NH | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Johnson Audiology LLC | Audiologist | Current | Accepting new patients |
Locations
2 Dorrance Pl
Hanover, NH 03755
Phone (603) 543-2020
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
3855 Dartmouth College Hwy
North Haverhill, NH 03774
Phone (603) 787-6971
Organizations & group practices 4
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.
-
- Audiologist
- Hanover, NH
- NPI 1881017390
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
dba Hampstead Hospital
- Psychiatric Hospital
- Hampstead, NH
- NPI 1699584219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438128000000",
"number": "1578946364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"address_2": "DHMC DEPARTMENT OF AUDIOLOGY DEPT. 4F",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-650-8123",
"fax_number": "603-650-0052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"address_2": "DHMC DEPARTMENT OF AUDIOLOGY DEPT. 4F",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-650-8123",
"fax_number": "603-650-0052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYNARD",
"first_name": "NICOLE",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-30",
"last_updated": "2015-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NH",
"license": "A661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.