Active NPI
Holly A Reinke, AUD
- Audiologist
- Lancaster, OH
National Provider Identifier
1104898477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A01115
- Practice address
- 2670 N Columbus St
Suite B
Lancaster, OH 43130-8408 - Phone
- (740) 654-3300
- Fax
- (740) 654-3343
- NPI assigned
- Feb 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A01115 | OH | Primary |
Addresses
Primary practice location
2670 N Columbus St
Suite B
Lancaster, OH 43130-8408
Mailing address
2670 N Columbus St
Suite B
Lancaster, OH 43130-8408
Phone (740) 654-3300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000035900 | Other | OH | ANTHEM |
| 000000503368 | Other | OH | ANTHEM |
| 2068631 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01115 | OH | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Associates of Northeast Ohio Inc. | Audiologist | Past | Accepting new patients |
| Audiology Associates of Beachwood, LLC. | Audiologist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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-
- Audiologist
- Youngstown, OH
- NPI 1619032323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489104000000",
"number": "1104898477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2670 N COLUMBUS ST",
"address_2": "SUITE B",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431308408",
"telephone_number": "740-654-3300",
"fax_number": "740-654-3343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2670 N COLUMBUS ST",
"address_2": "SUITE B",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431308408",
"telephone_number": "740-654-3300",
"fax_number": "740-654-3343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINKE",
"first_name": "HOLLY",
"middle_name": "A",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-02",
"last_updated": "2017-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OH",
"license": "A01115",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000035900",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000503368",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2068631",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.