Individual provider Active NPI

Danette Nulph, M.S., CCC-A

  • Audiologist
  • Camp Hill, PA
National Provider Identifier
1992734040
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT005803 Issued in PA
Practice address
1857 Center St
Camp Hill, PA 17011-1703
Phone
(717) 761-4844
Fax
(717) 761-8953
NPI assigned
Jul 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT005803 PA Primary

Addresses

Primary practice location

1857 Center St
Camp Hill, PA 17011-1703

Mailing address

1857 Center St
Camp Hill, PA 17011-1703
Phone (717) 761-4844

Other identifiers 3

IdentifierTypeStateIssuer
1664797OtherPAAETNA
NU1759602OtherPAHIGHMARK BLUE SHIELD
50054571OtherPACAPITAL BLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051205000298 PA Practitioner - Qualified Audiologist 9739109810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duncan Nulph Hearing Associates, PCGroup PAC ID 5496855892, 3 clinicians

Practice addresses (Care Compare)

5020 Ritter Rd
Suite 106
Mechanicsburg, PA 17055-4837
Phone (717) 766-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AT005803PAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Duncan Nulph Hearing Associates, PC Audiologist CurrentSince Jun 7, 2007 Accepting new patients
ENT Surgery Group PC PastSince Aug 2, 2004 Accepting new patients

Locations

5020 Ritter Rd
Ste 106
Mechanicsburg, PA 17055
Phone (717) 766-1500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992734040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1857 CENTER ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111703",
            "telephone_number": "717-761-4844",
            "fax_number": "717-761-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1857 CENTER ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111703",
            "telephone_number": "717-761-4844",
            "fax_number": "717-761-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NULPH",
        "first_name": "DANETTE",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT005803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1664797",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "NU1759602",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50054571",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.