Samuel A Gillespie, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

348 Issued in NE

Practice address

17021 Lakeside Hills PLZ Ste 202
Omaha, NE 68130-2390

Phone

(402) 758-5327

NPI assigned

Jan 6, 2012

Last updated

May 3, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Audiology of Greater Omaha LLCGroup PAC ID 0244508836, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Audiology of Greater Omaha, LLC

  • Audiologist
  • Omaha, NE
  • NPI 1124548607
  Medicare reassignment Care Compare group Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1063782050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17021 LAKESIDE HILLS PLZ STE 202",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302390",
            "telephone_number": "402-758-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17021 LAKESIDE HILLS PLZ STE 202",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302390",
            "telephone_number": "402-758-5327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12330 Metcalf Ave Ste 560",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662131305",
            "country_code": "US",
            "telephone_number": "913-498-2827",
            "fax_number": "913-498-1052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "SAMUEL",
        "middle_name": "A",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-06",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "2200",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "1504",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NE",
            "license": "170",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NE",
            "license": "348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason M Gillespie, FNP-BC
• Kimberly Ngoc Thi Gillespie, MSN, FNP-C
• Lauren Elizabeth Gillespie, MD
• Madison Anne Gillespie
• Samantha Gillespie
• Sara Lynn Gillespie, APRN, FNP-C
• Stephen Lee Gillespie, D.D.S.
• Adison Gillett
• Tricia Gillett
• Debra H Gillette, M.S., CCC-A

• Audiologist in Omaha, NE
• Providers in Omaha, NE by specialty
• Audiologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.