Active NPI
Nicole Anne Skinner
- Hearing Instrument Specialist
- El Cerrito, CA
National Provider Identifier
1649677485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 8373
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| HA8373 | CA | MD | Hearing Instrument Specialist |
| HA 60483497 | WA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Better Hearing, Inc. | Past | 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.
-
- Hearing Aid Equipment
- El Cerrito, CA
- NPI 1992888788
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.