Active NPI
Kyndell Belcher, AUD
- Audiologist
- Wilmington, NC
National Provider Identifier
1821706417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 30001171
- Practice address
- 2311 Delaney Ave
Wilmington, NC 28403-6012 - Phone
- (910) 762-8754
- Fax
- (910) 762-0778
- NPI assigned
- Nov 11, 2022
- Sex
- Female
- Sole proprietor
- No
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.
-
- Specialist
- Wilmington, NC
- NPI 1710932629
-
- Internal Medicine Physician
- Sunland, CA
- NPI 1356047609
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wilmington Ear Nose and Throat Assoc PA
Practice addresses (Care Compare)
2311 Delaney Ave
Wilmington, NC 28403-6012
Phone 9107628754124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221130002888 | NC | Practitioner - Qualified Audiologist | 3173991858 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30001171 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilmington Ear Nose & Throat Assoc., P.a. | Current | Accepting new patients | |
| Steven and Michael Hochman Medical Corporation Inc. | Past | Accepting new patients |
Locations
2311 Delaney Ave
Wilmington, NC 28403
Phone (910) 762-8754
8115 Market St
Ste 200
Wilmington, NC 28411
Phone (910) 681-1488
Specialties & licenses 4
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 30001171 | NC | |
| Audiologist-Hearing Aid Fitter | 237600000X | 30001171 | NC | |
| Hearing Instrument Specialist | 237700000X | 30001171 | NC | |
| Audiologist | 231H00000X | 30001171 | NC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2311 Delaney Ave
Wilmington, NC 28403-6012
Mailing address
2311 Delaney Ave
Wilmington, NC 28403-6012
Phone (910) 762-8754
Other practice location 1
8115 Market St Ste 200
Wilmington, NC 28411-8430
Phone (910) 762-8754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 11, 2022.
{
"created_epoch": "1668124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668124800000",
"number": "1821706417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 DELANEY AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036012",
"telephone_number": "910-762-8754",
"fax_number": "910-762-0778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 DELANEY AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036012",
"telephone_number": "910-762-8754",
"fax_number": "910-762-0778"
}
],
"practiceLocations": [
{
"address_1": "8115 Market St Ste 200",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284118430",
"country_code": "US",
"telephone_number": "910-762-8754",
"fax_number": "910-762-0778",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELCHER",
"first_name": "KYNDELL",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-11",
"last_updated": "2022-11-11",
"certification_date": "2022-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30001171",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NC",
"license": "30001171",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NC",
"license": "30001171",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "30001171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.