Individual provider Active NPI

Kyndell Belcher, AUD

  • Audiologist
  • Wilmington, NC
National Provider Identifier
1821706417
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
30001171 Issued in NC
Practice address
2311 Delaney Ave
Wilmington, NC 28403-6012
Phone
(910) 762-8754
Fax
(910) 762-0778
NPI assigned
Nov 11, 2022
Last updated
Nov 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

Primary 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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221130002888 NC Practitioner - Qualified Audiologist 3173991858 Reassigns benefits to 1 organization

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 PAGroup PAC ID 0143200121, 10 clinicians

Practice addresses (Care Compare)

2311 Delaney Ave
Wilmington, NC 28403-6012
Phone 9107628754124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30001171NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington Ear Nose & Throat Assoc., P.a. CurrentSince Aug 18, 2022 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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.

Verify at the official NPI Registry.