Active NPI
Nichelei Anissa Talmore, MA CCCA
- Audiologist
- Brenham, TX
National Provider Identifier
1679507610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 80613
- 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, 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64BCBPT | Other | GA | MEDICARE |
| 809412356A | Medicaid | GA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AUD003741 | GA | MD | Audiologist-Hearing Aid Fitter |
| 80613 | TX | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Auditory Verbal Center Inc | Audiologist | Past | Accepting new patients |
| Auditory Verbal Center Inc | Past | 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.
-
- Hearing and Speech Clinic/Center
- Macon, GA
- NPI 1962789370
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
- Joshua Sulik, PT, DPT
- Donald M Sumerlin, MD
- Deborah Supernaw, APRN FNP-C
- Priya Sureja, PHARMD
- T&T Foot & Ankle Specialists, PA
- Peter Tarbutton, PHARMACIST
- Laporsha Taylor
- Team Optimum Home Health LLC (Team Optimum Home Health)
- Texas State Optical of Brenham
- Tgi Brookstreet Inc (Tgi Brook Healthcare)
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.