Active NPI
Nicole M Wham, MS CCC-A
- Audiologist-Hearing Aid Fitter
- Coeur d'Alene, ID
National Provider Identifier
1811919491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AUD1173
- Practice address
- 700 Ironwood Dr
Ste #228
Coeur D'Alene, ID 83814 - Phone
- (208) 765-4961
- Fax
- (509) 783-8167
- NPI assigned
- Jul 24, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD1173 | ID | |
| Audiologist-Hearing Aid Fitter | 237600000X | AUD1173 | ID | Primary |
Addresses
Primary practice location
700 Ironwood Dr
Ste #228
Coeur D'Alene, ID 83814
Mailing address
700 Ironwood Dr
Ste #228
Coeur D'Alene, ID 83814
Phone (208) 765-4961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AUD1173 | ID | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Center Inc. | Audiologist | Past | Accepting new patients |
Organizations & group practices 1
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": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1811919491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 IRONWOOD DR",
"address_2": "STE #228",
"city": "COEUR D'ALENE",
"state": "ID",
"postal_code": "83814",
"telephone_number": "208-765-4961",
"fax_number": "509-783-8167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 IRONWOOD DR",
"address_2": "STE #228",
"city": "COEUR D'ALENE",
"state": "ID",
"postal_code": "83814",
"telephone_number": "208-765-4961",
"fax_number": "509-783-8167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHAM",
"first_name": "NICOLE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "MS CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "ID",
"license": "AUD1173",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "ID",
"license": "AUD1173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coeur d'Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.