Nicole Marie Smith, AU.D.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

02392 Issued in OH

Practice address

3893 E Market St
Warren, OH 44484-4706

Phone

(330) 856-7551

Fax

(330) 856-4251

NPI assigned

Jun 7, 2022

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

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Warren Otologic Group, Inc

  • Otolaryngology Physician
  • Warren, OH
  • NPI 1720023351
  Medicare reassignment NPD
• Maryanns Family Hearing LLC

  • Audiologist
  • Painesville, OH
  • NPI 1760409700
  NPD

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1922737733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3893 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844706",
            "telephone_number": "330-856-7551",
            "fax_number": "330-856-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3893 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844706",
            "telephone_number": "330-856-7551",
            "fax_number": "330-856-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OH",
            "license": "02392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaak Smith, PHARMD.
• Jasmine Smith
• Karen L Smith, CRNA
• Kayla N Smith
• Lori Ann Smith
• Noel Elizabeth Smith
• Rachael M Smith, LPC
• Rhonda Smith, LPN
• Susan A. Smith, LISW
• Smiths Courageous Care Agency LLC

• Audiologist-Hearing Aid Fitter in Warren, OH
• Providers in Warren, OH by specialty
• Audiologist-Hearing Aid Fitter in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.