Nicole Kreisman, PH.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

01098 Issued in MD

Practice address

5430 Campbell Blvd
Suite 212
White Marsh, MD 21162-5500

Phone

(443) 725-5725

Fax

(443) 725-5738

NPI assigned

May 15, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Advanced Hearing Centers, Inc.

  • Audiologist
  • Columbia, MD
  • NPI 1831384031
  NPD (past)
• Advanced Hearing Group

  • Audiologist-Hearing Aid Fitter
  • Columbia, MD
  • NPI 1588935670
  NPD (past)
• Center for Hearing & Speech

  • Audiologist
  • Saint Louis, MO
  • NPI 1407942527
  NPD (past)
• Easter Seals Midwest

  • Behavior Analyst
  • Saint Louis, MO
  • NPI 1871625582

  Audiologist

  NPD (past)

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1780851964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 CAMPBELL BLVD",
            "address_2": "SUITE 212",
            "city": "WHITE MARSH",
            "state": "MD",
            "postal_code": "211625500",
            "telephone_number": "443-725-5725",
            "fax_number": "443-725-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 CAMPBELL BLVD",
            "address_2": "SUITE 212",
            "city": "WHITE MARSH",
            "state": "MD",
            "postal_code": "211625500",
            "telephone_number": "443-725-5725",
            "fax_number": "443-725-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREISMAN",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
• Gregory B Kelly, MD
• Kindness My Son'S Legacy
• Lisa M Koulish, MD
• Samuel Kpechi, REGISTERED NURSE
• Lauren Lambdin
• Marlene Malka Langer Young, MS,CNS
• Lansdowne Podiatry
• Michelle Lopez
• Lorraine Ofori-Awuah MD PA

• All providers in White Marsh, MD
• Audiologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.