Nicole E Genrich, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

394 Issued in NE

Practice address

2501 S 90TH St Ste 125
Omaha, NE 68124-2047

Phone

(402) 594-4088

NPI assigned

Jun 22, 2020

Last updated

Jun 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole E Swanson Former name

Medicare fee-for-service enrollment

Enrolled in NE, IA2 enrollments

Enrollment records 2

Specialty

Qualified Audiologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Father Flanagans Boys HomeGroup PAC ID 9638165400, 93 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Father Flanagan's Boys' Home

  dba Boys Town Professional Services

  • Pediatrics Physician
  • Omaha, NE
  • NPI 1295821825

  Audiologist, IA

  Medicare reassignment Care Compare group NPD
• Dailey Hearing Center PC

  • Audiologist-Hearing Aid Fitter
  • Fremont, NE
  • NPI 1144595554
  NPD (past)
• ENT Services PC

  • Otolaryngology Physician
  • Omaha, NE
  • NPI 1194822130

  Audiologist

  NPD (past)
• Father Flanagan's Boys Home

  dba Boys Town Center for Behavioral Health

  • Psychologist
  • Boys Town, NE
  • NPI 1265405419
  NPD (past)
• Professional Hearing Ctr PC

  • Audiologist-Hearing Aid Fitter
  • Fremont, NE
  • NPI 1225159577
  NPD (past)

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1093331480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E 23RD ST # A",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 S 90TH ST STE 125",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681242047",
            "telephone_number": "402-594-4088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 E 23rd St # A",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "NE",
            "postal_code": "680252393",
            "country_code": "US",
            "telephone_number": "402-721-8960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENRICH",
        "first_name": "NICOLE",
        "middle_name": "E",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NE",
            "license": "394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SWANSON",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• 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 Jun 22, 2020; 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.