Individual provider Active NPI

Jason L Rickman, AU.D.

  • Audiologist
  • Wilmington, NC
National Provider Identifier
1902340300
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
12037 Issued in NC
Practice address
5725 Oleander Dr Ste F1-1
Wilmington, NC 28403-4758
Phone
(516) 987-5726
NPI assigned
Dec 5, 2016
Last updated
Jul 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 12037 NC Primary

Addresses

Primary practice location

5725 Oleander Dr Ste F1-1
Wilmington, NC 28403-4758

Mailing address

5725 Oleander Dr Ste F1-1
Wilmington, NC 28403-4758
Phone (516) 987-5726

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

State licenses

LicenseStateTypeSpecialty
12037NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Audiology, PLLC Audiologist CurrentSince Jul 25, 2021 Accepting new patients
Alpaca Audiology, LLC Audiologist Past Accepting new patients

Locations

5725 Oleander Dr
Ste F1-1
Wilmington, NC 28403
Phone (516) 987-5726

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": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1902340300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 OLEANDER DR STE F1-1",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034758",
            "telephone_number": "516-987-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 OLEANDER DR STE F1-1",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034758",
            "telephone_number": "516-987-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKMAN",
        "first_name": "JASON",
        "middle_name": "L",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-05",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "12037",
            "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 Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.