Nicolette Marie Beazley, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000798 Issued in MI

Practice address

11080 Hall Rd Ste a
Sterling Heights, MI 48314-1511

Phone

(586) 254-0033

NPI assigned

Jul 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicolette Marie Romatz Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Henry Ford Health St. John Hospital

  • Podiatrist
  • Harrison Township, MI
  • NPI 1043478910
  Medicare reassignment NPD
• Henry Ford Health St. John Hospital

  • Otolaryngology Physician
  • Saint Clair Shores, MI
  • NPI 1376820605
  NPD
• Henry Ford Health St. John Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1023088168
  NPD

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1669968582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11080 HALL RD STE A",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141511",
            "telephone_number": "586-254-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11080 HALL RD STE A",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141511",
            "telephone_number": "586-254-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAZLEY",
        "first_name": "NICOLETTE",
        "middle_name": "MARIE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLETTE",
            "last_name": "ROMATZ",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kendra Ann Baumgartner, LPC
• Leonard A. Bayer, D.O.
• Jesmine Beard
• Janisa Beasley
• Richard Gino Beauchemin, D.D.S., F.A.G.D.
• John W Becker, MD
• Daniel Joseph Beckett, FNP-BC
• Janet Marie Bednarz, D.C.
• Emily Bedy, ATC
• Melissa Beemer

• Audiologist in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.