Emily Nicole Pickett, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A.02139 Issued in OH

Practice address

715 Richland Mall Ste D
Mansfield, OH 44906-3802

Phone

(419) 775-1091

NPI assigned

May 22, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• North Central Ohio Family Care Center, Inc

  • Specialist
  • Galion, OH
  • NPI 1689822827
  Medicare reassignment

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1902397235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 COLLINS RD",
            "city": "COLLINS",
            "state": "OH",
            "postal_code": "448269732",
            "telephone_number": "419-706-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 RICHLAND MALL STE D",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063802",
            "telephone_number": "419-775-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "EMILY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A.02139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0314960",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erospert632683@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "715 Richland Mall Ste D",
            "city": "Mansfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "449063802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrea Phelps
• Martha Beck Philippon, OTR
• Amy Kathleen Phillips, RN, BSN
• Erica Lyn Phillips
• Brandy Piacentino, PA-C, MPAS
• Courtney Picman
• Derek John Pidgeon, CPS
• Olivia J. Pidgeon
• Donna Pierce, CNP
• Russell J Pierce

• Audiologist in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Audiologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.