Mrs Kimberly Lisa Nicholson-smith, AUD is a
Audiologist based in Joilet, Illinois. Mrs Kimberly Lisa Nicholson-smith is licensed to practice in Illinois (license number 147.001881) and her current practice location is
1201 Eagle Street Joliet Va Clinic, Joilet, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 740-8100.
NPI number for Mrs Kimberly Lisa Nicholson-smith is 1851089643 and her current mailing address is 1201 Eagle Street Joliet Va Clinic, Joilet, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851089643.
Healthcare Provider's Profile
Full Name | Mrs Kimberly Lisa Nicholson-smith |
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Gender | Female |
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Speciality | Audiologist |
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Location | 1201 Eagle Street Joliet Va Clinic, Joilet, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1851089643
- Provider Enumeration Date: 04/28/2023
- Last Update Date: 04/28/2023
Medical Identifiers
Medical identifiers for Mrs Kimberly Lisa Nicholson-smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851089643 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | 147.001881 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kimberly Lisa Nicholson-smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kimberly Lisa Nicholson-smith, AUD 1201 Eagle Street Joliet Va Clinic, Joilet, IL 60432 Ph: () - | Mrs Kimberly Lisa Nicholson-smith, AUD 1201 Eagle Street Joliet Va Clinic, Joilet, IL 60432 Ph: (815) 740-8100 |
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