THERESA ROSE NISSENBAUM
NPI 1902787492
Hearing Instrument Specialist in Worcester, MA

Active since September 10, 2025
102 SHORE DR STE 400, WORCESTER, MA 01605(508) 753-8155 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theresa Rose Nissenbaum NPPES

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

THERESA ROSE NISSENBAUM (NPI 1902787492) is an individual hearing instrument specialist in Worcester, Massachusetts, licensed in Massachusetts (6587) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1902787492
Entity TypeIndividualFemale
Primary Taxonomy237700000X
Provider Legal NameTHERESA ROSE NISSENBAUM
Location Address102 SHORE DR STE 400Worcester, MA 01605-3154
Mailing Address102 Shore Dr Ste 400Worcester, MA 01605-3154 · (508) 753-8155
Sole ProprietorNo
Enumeration DateSeptember 10, 2025
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedSeptember 10, 2025
NPI 1902787492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHearing Instrument SpecialistSpeech, Language and Hearing Service Providers
Taxonomy Code237700000X
License Licensed in MA · 6587
Definition
Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society
102 SHORE DR STE 400, Worcester, MA 01605

Other Providers at the Same Location NPPES

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

Clinic/Center (Hearing and Speech)
102 SHORE DR STE 400
WORCESTER, MA 01605

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 Theresa Nissenbaum's NPI number?

The NPI number for Theresa Nissenbaum is 1902787492. It was assigned to this individual provider in the NPPES registry on September 10, 2025.

Where is Theresa Nissenbaum located?

Theresa Nissenbaum practices at 102 Shore Dr Ste 400, Worcester, MA 01605. The listed phone number is (508) 753-8155.

What is Theresa Nissenbaum's specialty?

The primary specialty registered for this NPI is Hearing Instrument Specialist with taxonomy code 237700000X.

When was this NPI record last updated?

The NPPES record for Theresa Nissenbaum was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.