Katherine Jean Nicholsen, HAS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

AS-5556 Issued in FL

Practice address

3052 Harbor Blvd Ste 1
Port Charlotte, FL 33952-6758

Phone

(941) 255-0038

NPI assigned

Mar 23, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1972189587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3052 HARBOR BLVD STE 1",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526758",
            "telephone_number": "941-255-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3052 HARBOR BLVD STE 1",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526758",
            "telephone_number": "941-255-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSEN",
        "first_name": "KATHERINE",
        "middle_name": "JEAN",
        "credential": "HAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS-5556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katherine_nicholsen@starkeyhearcare.com",
            "affiliation": "N",
            "address_1": "3052 Harbor Blvd Ste 1",
            "city": "Port Charlotte",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339526758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Hearing Instrument Specialist in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Hearing Instrument Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.