Individual provider Active NPI

Madeline Sicora, AUD

  • Audiologist
  • Duluth, MN
National Provider Identifier
1942937594
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
518078 Issued in MN
Practice address
920 E 1St St Ste 301
Duluth, MN 55805-2225
Phone
(218) 249-6279
NPI assigned
Aug 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 518078 MN Primary

Addresses

Primary practice location

920 E 1St St Ste 301
Duluth, MN 55805-2225

Mailing address

920 E 1St St Ste 301
Duluth, MN 55805-2225
Phone (612) 940-9339

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220921002370 MN Practitioner - Qualified Audiologist 1052796448 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Hospital of Duluth Current Accepting new patients
St. Luke'S Hospital of Duluth CurrentSince Aug 9, 2022 Accepting new patients
St. Luke'S Hospital of Duluth CurrentSince Aug 9, 2022 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

920 E 1st St
Ste 301
Duluth, MN 55805
Phone (218) 279-6279

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1942937594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E 1ST ST STE 301",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052225",
            "telephone_number": "612-940-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E 1ST ST STE 301",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052225",
            "telephone_number": "218-249-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICORA",
        "first_name": "MADELINE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "518078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.