NICOLE LYNN GREENWALT


Address: 2799 W Grand Blvd, Detroit, MI 48202-2689
Phone: 3139161755

NICOLE LYNN GREENWALT (NPI# 1124640123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124640123
Entity Type Individual
Full Name NICOLE LYNN GREENWALT
Credential AUD
Practice Address 2799 W Grand Blvd
Detroit
MI 48202-2689
Mailing Address 1511 1st St Apt 906
Detroit
MI 48226-1359
Practice Telephone 3139161755
Mailing Telephone 3083903302
Enumeration Date 2020-05-12
Last Update Date 2020-05-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 231H00000X Audiologist MI Speech, Language and Hearing Service Providers

Office Location

Street Address 2799 W GRAND BLVD
City DETROIT
State MI
Zip Code 48202-2689

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235132069 Donna Prince Radiology 2799 W Grand Blvd, Detroit, MI 48202-2608 2005-05-24
1790386704 Alexandria L Blevins Nurse Practitioner 2799 W Grand Blvd, Detroit, MI 48202-2608 2020-11-05
1255932430 Amy Katlyn Carion 2799 W Grand Blvd, Detroit, MI 48202-2608 2020-11-04
1871194415 Alexandria Denise Roberts Physical Therapist 2799 W Grand Blvd, Detroit, MI 48202-2689 2020-11-02
1174121420 John Charles Sanno Nurse Practitioner 2799 W Grand Blvd, Detroit, MI 48202-2689 2020-10-09
1932706991 Fallon J Awe Nurse Practitioner 2799 W Grand Blvd, Detroit, MI 48202-2608 2020-10-02
1922615145 Chelsea Elizabeth Owen Nurse Anesthetist, Certified Registered 2799 W Grand Blvd, Detroit, MI 48202-2608 2020-10-01
1275130395 Zana Latkovac Nurse Practitioner 2799 W Grand Blvd, Detroit, MI 48202-2608 2020-10-01
1487260030 Jessica Lee Moret Nurse Practitioner 2799 W Grand Blvd, Detroit, MI 48202-2608 2020-09-18
1932713237 Lucas Costa Santos Anesthesiology 2799 W Grand Blvd, Detroit, MI 48202-2608 2020-09-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710584602 Andrea Irene Martin Audiologist 2799 E Grand Blvd, Detroit, MI 48202 2020-10-05
1174132583 Odei Alayyas Student in an Organized Health Care Education/Training Program 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 2020-07-31
1912529801 Aroob Nabil Nimer Sweidan Student in an Organized Health Care Education/Training Program 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 2020-05-13
1306485636 Katie Burlen-davis Registered Nurse 9045 Woodward Ave, Detroit, MI 48202 2020-01-03
1407401250 Santhalakshmi Angappan Student in an Organized Health Care Education/Training Program Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 2019-08-08
1851945687 Walter Mitini Etoh Nurse Practitioner Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 2019-07-30
1467913756 Andrew Michael Schock Emergency Medicine Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 2019-03-28
1700363892 Zaid Al-saheli Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 2018-07-23
1932690096 Yusuf Naser Alalwan Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 2018-05-24
1568952729 Kelvin Sellers Massage Therapist 832 Seward, Detriot, MI 48202 2018-05-14
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Taxonomy Information

Taxonomy Code 231H00000X
Grouping Speech, Language and Hearing Service Providers
Classification Audiologist

Taxonomy Definition

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710584602 Andrea Irene Martin Audiologist 2799 E Grand Blvd, Detroit, MI 48202 2020-10-05
1487059325 Lions Hearing Center of Michigan Audiologist 1326 St. Antoine, Detroit, MI 48226 2014-11-04
1992113104 Shelly Shelton Audiologist 600 Arden Park Blvd, Detroit, MI 48202 2014-07-31
1619315868 Sonya Veronica Ellis Audiologist 3162 E Lafayette St, Detroit, MI 48207-4378 2013-06-10
1104058015 Ashley Marie Deeb Audiologist 2799 W Grand Blvd Dept Of, Detroit, MI 48202-2608 2009-08-12
1871729731 Dmc Billing Associates, LLC Audiologist 3990 John R St Ste 1702, Detroit, MI 48201-2018 2009-06-05
1750432373 Randall George Barden Audiologist 4 E Alexandrine St, Detroit, MI 48201-2031 2007-01-12
1063561660 Deaf,hearing, and Sign Language Center Inc. Audiologist 19185 Wyoming St, Detroit, MI 48221-3219 2007-01-10
1639731847 Samantha Sue Panning Audiologist 2799 W Grand Blvd, Detroit, MI 48202-2608 2019-07-08
1265097760 D'arcy Ann Molloy Audiologist 3901 Beaubien St, Detroit, MI 48201-2196 2019-05-09
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Competitor

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City DETROIT
Zip Code 48202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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