Individual provider Active NPI

Noelle Marie Davis, AU.D.

  • Audiologist
  • Storrs, CT
National Provider Identifier
1679050744
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000614 Issued in CT
Practice address
U-1085 Bolton Road
Storrs, CT 06269-0001
Phone
(860) 486-2629
NPI assigned
Jul 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 000614 CT Primary

Addresses

Primary practice location

U-1085 Bolton Road
Storrs, CT 06269-0001

Mailing address

U-1085 Bolton Road
Storrs, CT 06269-0001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181011000014 CT Practitioner - Qualified Audiologist 3678825163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The University of ConnecticutGroup PAC ID 2062507817, 7 clinicians

Practice addresses (Care Compare)

2 Alethia Dr
U 1085
Storrs, CT 06269-1085
Phone (860) 486-2629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000614CTMDProfessional Counselor
614CTMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
University of Connecticut Audiologist CurrentSince Oct 14, 2022 Accepting new patients
University of Connecticut Health Center Past Accepting new patients
University of Connecticut Student Health and Wellness PastSince Oct 14, 2022 Accepting new patients

Locations

2 Alethia Dr
#U1085
Storrs Mansfield, CT 06269
Phone (860) 486-2629

Organizations & group practices 3

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": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1679050744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "U-1085 BOLTON ROAD",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062690001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "U-1085 BOLTON ROAD",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062690001",
            "telephone_number": "860-486-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NOELLE",
        "middle_name": "MARIE",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CT",
            "license": "000614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Storrs, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.