Active NPI
Ivy Michelle Saul, AU.D, CCC-A
- Audiologist
- Charlotte, NC
National Provider Identifier
1649712290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 12634
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Ivy@hearingsolutioncenter.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12634 | NC | MD | Professional Counselor |
| 4112 | SC | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology & Hearing Services of Charlotte, PLLC | Audiologist | Current | Accepting new patients |
| Cornerstone Ear Nose & Throat PA | Past | Accepting new patients |
Locations
11121 Carmel Commons Blvd
Ste 150
Charlotte, NC 28226
Phone (704) 412-7975
Interoperability endpoints
- 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.
-
- Audiologist
- Charlotte, NC
- NPI 1790147429
-
- Otolaryngology Physician
- Indian Land, SC
- NPI 1932800745
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.