Individual provider Active NPI

Nichelei Anissa Talmore, MA CCCA

  • Audiologist
  • Brenham, TX
National Provider Identifier
1679507610
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
80613 Issued in TX
Practice address
4001 Highway 36 S
Brenham, TX 77833-9610
Phone
(979) 836-4511
Fax
(979) 277-1865
NPI assigned
Jul 10, 2006
Last updated
Jan 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD003741 GA
Audiologist 231H00000X 80613 TX Primary
Audiologist-Hearing Aid Fitter 237600000X AUD003741 GA

Addresses

Primary practice location

4001 Highway 36 S
Brenham, TX 77833-9610

Mailing address

4001 Highway 36 S
Brenham, TX 77833-9610
Phone (979) 836-4511

Other identifiers 2

IdentifierTypeStateIssuer
64BCBPTOtherGAMEDICARE
809412356AMedicaidGA

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
AUD003741GAMDAudiologist-Hearing Aid Fitter
80613TXMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Auditory Verbal Center Inc Audiologist PastSince Jul 14, 2014 Accepting new patients
Auditory Verbal Center Inc PastSince May 1, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1679507610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 HIGHWAY 36 S",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778339610",
            "telephone_number": "979-836-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 HIGHWAY 36 S",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778339610",
            "telephone_number": "979-836-4511",
            "fax_number": "979-277-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALMORE",
        "first_name": "NICHELEI",
        "middle_name": "ANISSA",
        "name_prefix": "Ms.",
        "credential": "MA CCCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003741",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80613",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "GA",
            "license": "AUD003741",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "64BCBPT",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "809412356A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brenham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.