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MS. NICOLE LETIECQ AUD
NPI 1639205230
Audiologist in Los Angeles, CA

Active since February 26, 2007
12021 WILMINGTON AVE, LOS ANGELES, CA 90059(310) 668-4515(310) 763-8909 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Nicole Letiecq Aud NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. NICOLE LETIECQ AUD (NPI 1639205230) is an individual audiologist in Los Angeles, California, licensed in California (AU1899) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1639205230
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameMS. NICOLE LETIECQCredential: AUD
Location Address12021 WILMINGTON AVELos Angeles, CA 90059-3019
Mailing Address117 Monterey BlvdHermosa Beach, CA 90254-5143
Phone(310) 668-4515
Fax(310) 763-8909
Sole ProprietorNo
Enumeration DateFebruary 26, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1639205230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in CA · AU1899
Definition
(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.
12021 WILMINGTON AVE, Los Angeles, CA 90059
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Nicole Letiecq Aud is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Nicole Letiecq reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Los Angeles
0.3 mi
Clinic/Center
1670 E 120TH ST
Los Angeles, CA 90059
  • Reassigned Medicare billing, California enrollment
  • 435 clinicians in this Medicare group
NPI 1780877613 (310) 668-5201

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARC D LEVY MD
Otolaryngology
12021 WILMINGTON AVE, DEPT OF OTOLARYNGOLOGY
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4536
TINA M ROBINSON PA
Physician Assistant
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4515
PEGGY ANNA DANIELS CADCII
Counselor (Addiction (Substance Use Disorder))
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (818) 996-1051
BRANDON DORFMAN
Day Training/Habilitation Specialist
12021 WILMINGTON AVE, BUILDING 18 SUITE 4D
LOS ANGELES, CA 90059
Los Angeles County (626) 425-1305
DR. KEITH NORRIS MD
Internal Medicine
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4515
MS. ZAHRA YAZDANI PA-C
Physician Assistant
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4515
DR. LATANIA SCI M.D.
Internal Medicine
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (702) 326-8726
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Clinic/Center
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Los Angeles County (310) 668-4501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Letiecq's NPI number?

The NPI number for Nicole Letiecq is 1639205230. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Nicole Letiecq located?

Nicole Letiecq practices at 12021 Wilmington Ave, Los Angeles, CA 90059. The listed phone number is (310) 668-4515.

What is Nicole Letiecq's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Nicole Letiecq enrolled in Medicare?

Yes. Nicole Letiecq is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Letiecq's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Letiecq reassigns Medicare benefits to County Of Los Angeles (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Letiecq's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Letiecq was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.