Individual provider Active NPI

Cassandra Alexis Nolder, AU.D., CCC-A

  • Audiologist
  • Memphis, TN
National Provider Identifier
1780413625
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2283 Issued in TN
Practice address
6242 Poplar Ave Ste 1
Memphis, TN 38119-4730
Phone
(901) 842-4327
Fax
(901) 842-4330
NPI assigned
Jul 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY2835 FL
Audiologist 231H00000X 2283 TN Primary

Addresses

Primary practice location

6242 Poplar Ave Ste 1
Memphis, TN 38119-4730

Mailing address

11767 S Dixie Hwy # 122
Pinecrest, FL 33156-4438
Phone (346) 291-2206

Other practice location 1

4626 26th St W
Bradenton, FL 34207-1701
Phone (941) 209-7784

Other practice location 2

172 W University Pkwy Ste D
Jackson, TN 38305-1622
Phone (731) 660-5511

Other names 1

  • Dr. Cassandra Alexis Heck Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240820002551 FL Practitioner - Qualified Audiologist 4486192523 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2283TNMDCounselor
AY2835FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Real Hearing USA LLC Audiologist CurrentSince Oct 6, 2025 Accepting new patients
Hearing Centers of West Tennessee, Inc. Audiologist PastSince Jan 31, 2019 Accepting new patients

Locations

4626 26th St W
Bradenton, FL 34207
Phone (941) 232-1290

11767 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 422-1008

172 W University Pkwy
Ste D
Jackson, TN 38305
Phone (731) 660-5511

6242 Poplar Ave
Memphis, TN 38119
Phone (901) 201-6761

6242 Poplar Ave
Ste 1
Memphis, TN 38119
Phone (901) 842-4327

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.

NPI Registry JSON

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1780413625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11767 S DIXIE HWY # 122",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331564438",
            "telephone_number": "346-291-2206",
            "fax_number": "346-291-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6242 POPLAR AVE STE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194730",
            "telephone_number": "901-842-4327",
            "fax_number": "901-842-4330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4626 26th St W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342071701",
            "country_code": "US",
            "telephone_number": "941-209-7784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "172 W University Pkwy Ste D",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383051622",
            "country_code": "US",
            "telephone_number": "731-660-5511",
            "fax_number": "731-660-4477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOLDER",
        "first_name": "CASSANDRA",
        "middle_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2835",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "2283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "HECK",
            "middle_name": "ALEXIS",
            "prefix": "DR.",
            "credential": "AU.D., CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.