Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Nicole Angelique Greene, MA, CCC-A

Individual provider Audiologist-Hearing Aid Fitter · NPI 1417179458

Mrs. Nicole Angelique Greene, MA, CCC-A is a Qualified Audiologist in Los Angeles, California. Qualified in 2009, 17 years ago. Practices with USC Care Medical Group Inc, a 1,371-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-A — Certificate of Clinical Competence in Audiology
An audiologist certified by ASHA.

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Practice location Address checks out

1450 San Pablo St Ste 5100
Los Angeles, CA 90033-5331
Phone: (323) 442-5790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence AU2169 (CA)
Audiologist-Hearing Aid Fitter Taxonomy 237600000X · Licence HA4188 (CA)

Record details

NPI number1417179458
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-A
Sole proprietorNo
NPI enumeratedMay 2, 2007
Last updated in NPPESNovember 27, 2023
Certification dateAugust 24, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Usc Care Medical Group Inc — 1371 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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