Active NPI
Deanna Michelle Nickerson, AU.D.
- Audiologist
- Cleveland, OH
National Provider Identifier
1750790416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A.02339
- Practice address
- 9500 Euclid Ave
Cleveland, OH 44195-0001 - Phone
- (561) 702-5039
- NPI assigned
- Aug 7, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A.02339 | OH | Primary |
Addresses
Primary practice location
9500 Euclid Ave
Cleveland, OH 44195-0001
Mailing address
9779 Daniels Rd
Seville, OH 44273-9526
Phone (561) 702-5039
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A.02339 | Other | OH | AUDIOLOGY |
Other names 1
- Dr. Deanna Michelle Katanic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 445-9596
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12194 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summa Physicians LLC | Current | Accepting new patients |
Locations
525 E Market St
Akron, OH 44304
Phone (330) 375-6350
1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- Obstetrics & Gynecology Physician
- Akron, OH
- NPI 1235167719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1750790416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9779 DANIELS RD",
"city": "SEVILLE",
"state": "OH",
"postal_code": "442739526",
"telephone_number": "561-702-5039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441950001",
"telephone_number": "561-702-5039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICKERSON",
"first_name": "DEANNA",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-07",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A.02339",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUDIOLOGY",
"identifier": "A.02339",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEANNA",
"last_name": "KATANIC",
"middle_name": "MICHELLE",
"prefix": "DR.",
"credential": "AUD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.