Active NPI
Nicole Zander Raven, AUD
- Audiologist-Hearing Aid Fitter
- Flemington, NJ
National Provider Identifier
1790922797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 41YA00096400
- Practice address
- 6 Sand Hill Rd Ste 302
Flemington, NJ 08822 - Phone
- (908) 788-9131
- Fax
- (908) 788-0945
- NPI assigned
- Jan 13, 2009
- 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-Hearing Aid Fitter | 237600000X | 41YA00096400 | NJ | Primary |
Addresses
Primary practice location
6 Sand Hill Rd Ste 302
Flemington, NJ 08822
Mailing address
1843 S Broad St
Philadelphia, PA 19148-2115
Phone (215) 629-1353
Other practice location 1
1843 S Broad St
Philadelphia, PA 19148-2115
Phone (215) 629-1353
Other names 1
- Miss Nicole Bush Raven
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1317 Glenwood Dr
Cleburne, TX 76033-4654
Phone (817) 641-3750
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benke Ear Nose and Throat Clinic | Audiologist-Hearing Aid Fitter | Current | Accepting new patients |
| Associates in Audiology of Chester County | Past | Accepting new patients |
Locations
1317 Glenwood Dr
Cleburne, TX 76033
Phone (817) 641-3750
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.
-
- Audiologist
- Cleburne, TX
- NPI 1881813475
-
- Audiologist
- Exton, PA
- NPI 1730425000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1790922797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1843 S BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191482115",
"telephone_number": "215-629-1353",
"fax_number": "215-629-1395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 SAND HILL RD STE 302",
"city": "FLEMINGTON",
"state": "NJ",
"postal_code": "08822",
"telephone_number": "908-788-9131",
"fax_number": "908-788-0945"
}
],
"practiceLocations": [
{
"address_1": "1843 S Broad St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191482115",
"country_code": "US",
"telephone_number": "215-629-1353",
"fax_number": "215-629-1395",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAVEN",
"first_name": "NICOLE",
"middle_name": "ZANDER",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-13",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NJ",
"license": "41YA00096400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "RAVEN",
"middle_name": "BUSH",
"prefix": "MISS",
"credential": "M.A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Flemington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.