Individual provider Active NPI

Ivy Michelle Saul, AU.D, CCC-A

  • Audiologist
  • Charlotte, NC
National Provider Identifier
1649712290
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
12634 Issued in NC
Practice address
11121 Carmel Commons Blvd
Suite 150
Charlotte, NC 28226
Phone
(704) 412-7975
Fax
(888) 965-9948
NPI assigned
Nov 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 4112 SC
Audiologist 231H00000X 1707034 NC
Audiologist 231H00000X 12634 NC Primary

Addresses

Primary practice location

11121 Carmel Commons Blvd
Suite 150
Charlotte, NC 28226

Mailing address

11121 Carmel Commons Blvd
Suite 150
Charlotte, NC 28226
Phone (704) 412-7975

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ivy@hearingsolutioncenter.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170124001841 NC Practitioner - Qualified Audiologist 2860774080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audiology and Hearing Services of Charlotte PLLCGroup PAC ID 1456642404, 3 clinicians

Practice addresses (Care Compare)

11121 Carmel Commons Blvd
Suite 150
Charlotte, NC 28226-1906
Phone (704) 412-7975

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12634NCMDProfessional Counselor
4112SCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology & Hearing Services of Charlotte, PLLC Audiologist CurrentSince Nov 30, 2020 Accepting new patients
Cornerstone Ear Nose & Throat PA PastSince Mar 19, 2023 Accepting new patients

Locations

11121 Carmel Commons Blvd
Ste 150
Charlotte, NC 28226
Phone (704) 412-7975

Interoperability endpoints

  • Direct secure messaging: ivy@hearingsolutioncenter.com

Organizations & group practices 2

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": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1649712290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11121 CARMEL COMMONS BLVD",
            "address_2": "SUITE 150",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28226",
            "telephone_number": "704-412-7975",
            "fax_number": "888-965-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11121 CARMEL COMMONS BLVD",
            "address_2": "SUITE 150",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28226",
            "telephone_number": "704-412-7975",
            "fax_number": "888-965-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUL",
        "first_name": "IVY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "AU.D, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-14",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SC",
            "license": "4112",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "1707034",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "12634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ivy@hearingsolutioncenter.com",
            "affiliation": "N",
            "address_1": "135 S Sharon Amity Rd Ste 208",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282113871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.