Individual provider Active NPI

Holly A Reinke, AUD

  • Audiologist
  • Lancaster, OH
National Provider Identifier
1104898477
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A01115 Issued in OH
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

Updated by the provider on Mar 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000035900OtherOHANTHEM
000000503368OtherOHANTHEM
2068631MedicaidOH

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

LicenseStateTypeSpecialty
A01115OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Associates of Northeast Ohio Inc. Audiologist PastSince Aug 19, 2013 Accepting new patients
Audiology Associates of Beachwood, LLC. Audiologist PastSince Aug 1, 2012 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.

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.

Verify at the official NPI Registry.