Individual provider Active NPI

Nicole Anne Skinner

  • Hearing Instrument Specialist
  • El Cerrito, CA
National Provider Identifier
1649677485
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
8373 Issued in CA
Practice address
190 El Cerrito PLZ
El Cerrito, CA 94530-4002
Phone
(510) 526-3824
NPI assigned
Nov 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA 60483497 WA
Hearing Instrument Specialist 237700000X HA8373 CA
Hearing Instrument Specialist 237700000X 8373 CA Primary

Addresses

Primary practice location

190 El Cerrito PLZ
El Cerrito, CA 94530-4002

Mailing address

215 Shuman Blvd
Ste 401
Naperville, IL 60563-8458
Phone (630) 303-5380

Other practice location 1

2201 Broadway Ste 328
Oakland, CA 94612-3064
Phone (510) 625-8039

Other practice location 2

4460 Black Ave Ste F
Pleasanton, CA 94566
Phone (925) 484-3507

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HA8373CAMDHearing Instrument Specialist
HA 60483497WAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Better Hearing, Inc. PastSince Feb 23, 2020 Accepting new patients

Organizations & group practices 1

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": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1649677485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SHUMAN BLVD",
            "address_2": "STE 401",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638458",
            "telephone_number": "630-303-5380",
            "fax_number": "978-313-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 EL CERRITO PLZ",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945304002",
            "telephone_number": "510-526-3824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Broadway Ste 328",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946123064",
            "country_code": "US",
            "telephone_number": "510-625-8039",
            "fax_number": "510-625-8067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4460 Black Ave Ste F",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "CA",
            "postal_code": "94566",
            "country_code": "US",
            "telephone_number": "925-484-3507",
            "fax_number": "925-484-3556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "NICOLE",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WA",
            "license": "HA 60483497",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA8373",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "8373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cerrito, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.