Alissa Lauren Nickerson, AUD
NPI 1912423799ActiveIndividual· Audiologist· Phoenix, AZ
Audiologist (AUD) in Phoenix, Arizona, licensed in AZ and IL, with an NPI issued in August 2017. Enrolled in Medicare as practitioner - qualified audiologist.
Overview
| NPI | 1912423799 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AUD |
| Sole proprietor | No |
| NPI issued | Aug 14, 2017 |
| Last updated in NPPES | Apr 26, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | DA10810 | AZ |
| Audiologist | 231H00000X | 147-001637 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (AZ) |
|---|
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