Individual provider Active NPI

Nancy M Richman, AU.D.

  • Audiologist
  • Saint Louis, MO
National Provider Identifier
1700820982
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2000167737 Issued in MO
Practice address
3915 Watson Rd Ste 201
Saint Louis, MO 63109-1251
Phone
(314) 647-3277
Fax
(314) 558-9199
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2000167737 MO Primary

Addresses

Primary practice location

3915 Watson Rd Ste 201
Saint Louis, MO 63109-1251

Mailing address

3915 Watson Rd Ste 201
Saint Louis, MO 63109-1251
Phone (314) 647-3277

Other names 1

  • Nancy M Portnoy Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070905000311 MO Practitioner - Qualified Audiologist 7911090162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South City Hearing and Audiology, LLCGroup PAC ID 3476745381, 2 clinicians

Practice addresses (Care Compare)

3915 Watson Rd
Saint Louis, MO 63109-1251
Phone (314) 647-3277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2000167737MOMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
South City Hearing & Audiology, LLC Audiologist CurrentSince Sep 3, 2010 Accepting new patients
Oto-AIDS, Inc. Past Accepting new patients
Hearusa Inc Past Accepting new patients
Audiology Distribution, LLC Past Accepting new patients
Wallace P Berkowitz MD LTD Past Accepting new patients

Locations

6651 Chippewa St
Ste 315
Saint Louis, MO 63109
Phone (314) 457-9338

3915 Watson Rd
Ste 201
Saint Louis, MO 63109
Phone (314) 647-3277

6651 Chippewa St
Ste 217
Saint Louis, MO 63109
Phone (314) 644-0818

Organizations & group practices 5

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1700820982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 WATSON RD STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631091251",
            "telephone_number": "314-647-3277",
            "fax_number": "314-558-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 WATSON RD STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631091251",
            "telephone_number": "314-647-3277",
            "fax_number": "314-558-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMAN",
        "first_name": "NANCY",
        "middle_name": "M",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2000167737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "PORTNOY",
            "middle_name": "M",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.