Individual provider Active NPI

Nicole Freemont

  • Audiologist-Hearing Aid Fitter
  • Allentown, PA
National Provider Identifier
1639557663
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AT001068L Issued in PA
Practice address
1251 S Cedar Crest Blvd
Suite 110
Allentown, PA 18103-6205
Phone
(610) 770-9797
Fax
(610) 770-9521
NPI assigned
May 11, 2015
Last updated
May 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AT001068L PA Primary

Addresses

Primary practice location

1251 S Cedar Crest Blvd
Suite 110
Allentown, PA 18103-6205

Mailing address

1251 S Cedar Crest Blvd
Suite 110
Allentown, PA 18103-6205
Phone (610) 770-9797

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200116000487 PA Practitioner - Qualified Audiologist 8022443217 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
Specialty Physician Associates, LLCGroup PAC ID 6204012016, 43 clinicians

Practice addresses (Care Compare)

120 Pine St
Suite B
Tamaqua, PA 18252-1409
Phone (484) 526-3648

3445 High Point Blvd
Suite 400
Bethlehem, PA 18017-7808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Audiology Associates Inc CurrentSince Apr 1, 2021 Accepting new patients
Specialty Physician Associates, LLC CurrentSince Dec 3, 2019 Accepting new patients
St. Luke's Physician Group Inc. CurrentSince Feb 1, 2020 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Feb 1, 2020 Accepting new patients
Cedar Crest ENT Associates P.C. Past Accepting new patients

Locations

325 N 5th St
Fl 3
Allentown, PA 18102
Phone (610) 776-4928

3445 High Point Blvd
Ste 400
Bethlehem, PA 18017
Phone (610) 824-5050

619 Dalton St
Rear
Emmaus, PA 18049
Phone (610) 965-1093

120 Pine St
#B
Tamaqua, PA 18252
Phone (570) 645-1540

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/76651

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1639557663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 S CEDAR CREST BLVD",
            "address_2": "SUITE 110",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036205",
            "telephone_number": "610-770-9797",
            "fax_number": "610-770-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 S CEDAR CREST BLVD",
            "address_2": "SUITE 110",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036205",
            "telephone_number": "610-770-9797",
            "fax_number": "610-770-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMONT",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "PA",
            "license": "AT001068L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.

Verify at the official NPI Registry.