Individual provider Active NPI

Graciela Cristina De Angelis, M.ED., CCC-A

  • Audiologist
  • Durham, NC
National Provider Identifier
1629281399
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
3221 Issued in NC
Practice address
40 Duke Medicine Cir # 1-I
Durham, NC 27710-0001
Phone
(919) 684-3859
Fax
(919) 668-2741
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 3221 NC Primary

Addresses

Primary practice location

40 Duke Medicine Cir # 1-I
Durham, NC 27710-0001

Mailing address

Dumc 3887 Clinic 1-I 40 Duke Medicine Circle
Durham, NC 27710-0001
Phone (919) 684-3859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080429000326 NC Practitioner - Qualified Audiologist 2567540727 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
3221NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Duke University Health System, Inc. CurrentSince Mar 3, 2025 Accepting new patients
Duke University Health System, Inc. CurrentSince Jan 22, 2001 Accepting new patients
Duke University Health System, Inc. CurrentSince Jan 22, 2001 Accepting new patients
Raleigh Capitol Ear, Nose, and Throat PastSince Jul 1, 2012 Accepting new patients
Capitol Ear, Nose & Throat Audiologist Past Accepting new patients

Locations

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

40 Duke Medicine Cir
#1I
Durham, NC 27710
Phone (919) 684-3451

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1629281399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DUMC 3887 CLINIC 1-I 40 DUKE MEDICINE CIRCLE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001",
            "telephone_number": "919-684-3859",
            "fax_number": "919-668-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 DUKE MEDICINE CIR # 1-I",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001",
            "telephone_number": "919-684-3859",
            "fax_number": "919-668-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ANGELIS",
        "first_name": "GRACIELA",
        "middle_name": "CRISTINA",
        "credential": "M.ED., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "3221",
            "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 Nov 2, 2022; 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.

Verify at the official NPI Registry.