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Dr. Richard Grant Nielsen, Au.D.

Audiologist in Arlington, WA. Individual provider (NPI-1).

NPI number1164071205
StatusActive
Last updated in NPPESSep 27, 2023

Details

NPI
1164071205
Entity type
Individual (NPI-1)
Name
Dr. Richard Grant Nielsen
Credential
Au.D.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 11, 2019
Certification date
Sep 27, 2023
Last updated
Sep 27, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - QUALIFIED AUDIOLOGIST
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
231H00000X Audiologist60996830WAYes
237600000X Audiologist-Hearing Aid Fitter60996830WA

Practice location

4011 172nd St Ne
Arlington, WA 98223-8482

Phone 425-259-0966 · Fax 425-304-1103

Mailing address

Po Box 5127
Everett, WA 98206-5127

Phone 425-304-8431

Other practice locations

8102 W Grandridge Blvd Ste A
Kennewick, WA 99336-7157

Phone 509-735-7461 · Fax 509-738-8167

9709 3rd Ave Ne
Seattle, WA 98115-2062

Phone 206-860-5573

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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