Active NPI
Nicole Maria Fruth, AU.D
- Audiologist
- Atlanta, GA
National Provider Identifier
1841521895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 3927
- Practice address
- 6018 Sandy Springs Cir
Atlanta, GA 30328-3832 - Phone
- (404) 256-5149
- NPI assigned
- Jan 14, 2010
- 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 | 231H00000X | 3927 | SC | Primary |
Addresses
Primary practice location
6018 Sandy Springs Cir
Atlanta, GA 30328-3832
Mailing address
6018 Sandy Springs Cir
Atlanta, GA 30328-3832
Phone (404) 256-5149
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA1062 | Medicaid | SC |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400630400000",
"number": "1841521895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6018 SANDY SPRINGS CIR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303283832",
"telephone_number": "404-256-5149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6018 SANDY SPRINGS CIR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303283832",
"telephone_number": "404-256-5149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRUTH",
"first_name": "NICOLE",
"middle_name": "MARIA",
"credential": "AU.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-14",
"last_updated": "2014-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "SC",
"license": "3927",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SA1062",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.