DR. DEANNA MICHELLE NICKERSON (NPI# 1750790416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750790416 |
| Entity Type | Individual |
| Full Name | DR. DEANNA MICHELLE NICKERSON |
| Credential | AU.D. |
| Practice Address |
3110 Wellons Blvd New Bern NC 28562-5247 |
| Mailing Address |
Po Box 896206 Charlotte NC 28289-6206 |
| Practice Telephone | 2526382515 |
| Practice Fax Number | 2526388538 |
| Mailing Telephone | 2526382515 |
| Mailing Fax Number | 2526388538 |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2017-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 12194 | NC | Speech, Language and Hearing Service Providers |
| Street Address |
3110 WELLONS BLVD |
| City | NEW BERN |
| State | NC |
| Zip Code | 28562-5247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013997485 | Thomas R Grant | Specialist | 3110 Wellons Blvd, New Bern, NC 28562-5247 | 2006-01-20 |
| 1306257902 | Elizabeth Bell | Specialist | 3110 Wellons Blvd, New Bern, NC 28562-5247 | 2014-05-16 |
| 1104163948 | Shannon Dee Swink | Audiologist | 3110 Wellons Blvd, New Bern, NC 28562-5247 | 2013-01-14 |
| 1275879439 | Carolinaeast Physicians | Family Medicine | 3110 Wellons Blvd, New Bern, NC 28562-5247 | 2012-12-17 |
| 1699036020 | Scott Allen Hardison | Otolaryngology | 3110 Wellons Blvd, New Bern, NC 28562-5247 | 2012-06-01 |
| 1134256035 | Terry Allen Hall | Audiologist | 3110 Wellons Blvd, New Bern, NC 28562 | 2007-02-27 |
| 1871679753 | Gregory Scott Mcnabb | Otolaryngology | 3110 Wellons Blvd, New Bern, NC 28562-5247 | 2006-10-31 |
| 1184663981 | John Patterson Arrowood Jr. | Otolaryngology | 3110 Wellons Blvd, New Bern, NC 28562-5247 | 2006-06-06 |
| 1992744791 | Henry John Macdonald Jr. | Otolaryngology | 3110 Wellons Blvd, New Bern, NC 28562-5247 | 2006-06-06 |
| 1912945908 | Richard Dwight Grady | Otolaryngology | 3110 Wellons Blvd, New Bern, NC 28562-5247 | 2006-06-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235741943 | Benchmark Physical Therapy of Nc, LLC | Occupational Therapist | 2026 Waterscape Way Ste 13, New Bern, NC 28562 | 2020-08-24 |
| 1023677234 | Katie Rebecca Masters Dmd Pllc | Dentist | 2900 Doctor M L K Jr. Blvd, New Bern, NC 28562 | 2019-06-11 |
| 1093281750 | Try-care LLC | Mechanotherapist | 37 Shoreline Dr, New Bern, NC 28562 | 2018-10-22 |
| 1376021949 | Maykin Kimberly Boyd | Social Worker | 1405 A South Glenburnie Rd, New Bern, NC 28562 | 2018-08-05 |
| 1770069288 | Rebecca Ann Anderson Bright | Counselor | 3435 Belmont Blvd, New Bern, NC 28562 | 2018-07-17 |
| 1841799814 | Dallin Page | Physical Therapist | 2111 Neuse Blvd Suite K, New Bern, NC 28562 | 2018-02-06 |
| 1467960476 | Randolph Ntoko Esabe | Pharmacist | 258 Station House Rd, New Bern, NC 28562 | 2018-01-12 |
| 1881100568 | Reid Family Eye Care, Od, Pllc | Optometrist | 3105 Doctor M.l.k. Jr. Blvd, New Bern, NC 28562 | 2017-12-18 |
| 1851742050 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 2032 Waterscape Way, New Bern, NC 28562 | 2016-06-29 |
| 1609241868 | Victor Montoyaamaya | Military Health Care Provider | 3331 Hardee Farms Dr, New Bern, NC 28562 | 2015-12-14 |
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| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740725134 | Victoria Anne Sarbin | Audiologist | 2111 Neuse Blvd. Suite 1, New Bern, NC 28560 | 2016-12-21 |
| 1972059525 | Kelly Mcmanus | Audiologist | 2111 Neuse Blvd Ste I, New Bern, NC 28560-4318 | 2016-09-01 |
| 1528028164 | Thomas Stephen Joseph | Audiologist | 2859 Trent Rd, New Bern, NC 28562-2029 | 2006-03-27 |
| 1104163948 | Shannon Dee Swink | Audiologist | 3110 Wellons Blvd, New Bern, NC 28562-5247 | 2013-01-14 |
| 1932337482 | Maria Holdren | Audiologist | 2120 Trent Blvd, New Bern, NC 28560-5326 | 2009-06-23 |
| 1558480038 | Michele Tripp Cleland | Audiologist | 2842 Neuse Blvd, New Bern, NC 28562-2839 | 2007-03-28 |
| 1134256035 | Terry Allen Hall | Audiologist | 3110 Wellons Blvd, New Bern, NC 28562 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629086 | Kristen Marie Ponturiero | Audiologist | 435 Meadowmont Village Cir, Chapel Hill, NC 27517-7506 | 2020-08-13 |
| 1730705146 | Rebekah Perez | Audiologist | 1505 Sw Cary Pkwy Ste 301, Cary, NC 27511-6219 | 2020-06-22 |
| 1588298665 | Leah Benedict | Audiologist | Medical Center Blvd 4 Janeway Tower, Winston Salem, NC 27157-0001 | 2020-02-27 |
| 1861025363 | Samuel Brown | Audiologist | Medical Center Blvd 4th Floor Janeway Tower: Audiology, Winston Salem, NC 27157-0001 | 2020-02-13 |
| 1932731742 | Ashley Elizabeth Ervin | Audiologist | Medical Center Blvd Janeway Tower 4th Floor, Winston Salem, NC 27157-0001 | 2020-02-10 |
| 1467082669 | Brevard Hearing Center of North Carolina Pllc | Audiologist | 424 S Caldwell St, Brevard, NC 28712-3904 | 2020-01-16 |
| 1700424538 | Lilian Elizabeth Fountain | Audiologist | 285 Mcdowell Street, Asheville, NC 28803 | 2019-12-11 |
| 1972145399 | Courtney Marie Palmiere | Audiologist | 6414 Rea Rd Ste C, Charlotte, NC 28277-3877 | 2019-10-17 |
| 1568022929 | Lixue Dong | Audiologist | 5000 Us Highway 70 West, Suite 103, Morehead City, NC 28557 | 2019-06-18 |
| 1346809191 | Marissa Lorraine Taylor | Audiologist | 1126 N Church St Ste 201, Greensboro, NC 27401-1036 | 2019-06-06 |
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| 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.