Individual provider Active NPI

Angela Denise Grasse, AUD

  • Audiologist
  • Omaha, NE
National Provider Identifier
1164616447
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
29 Issued in NE
Practice address
14473 W Center Rd
Omaha, NE 68144-5401
Phone
(402) 330-1651
NPI assigned
Aug 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 29 NE Primary

Addresses

Primary practice location

14473 W Center Rd
Omaha, NE 68144-5401

Mailing address

14473 W Center Rd
Omaha, NE 68144-5401
Phone (402) 330-1651

Other names 1

  • Angela Denise Whitfield Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080925000513 NE Practitioner - Qualified Audiologist 5698842110 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Consultants LLCGroup PAC ID 8123249927, 8 clinicians

Practice addresses (Care Compare)

2727 S 114TH St
Suite 250
Omaha, NE 68144-5236
Phone (402) 408-9625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
263NEMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Hearing Audiologist CurrentSince Oct 12, 2016 Accepting new patients
Ear Nose and Throat Consultants LLC CurrentSince Mar 18, 2024 Accepting new patients

Locations

6701 W 64th St
Ste 125
Overland Park, KS 66202
Phone (913) 789-9900

3512 Samson Way
Ste 130
Bellevue, NE 68123
Phone (402) 408-9625

2727 S 144th St
Ste 250
Omaha, NE 68144
Phone (402) 408-9625

2727 S 114TH St 250
Omaha, NE 68144
Phone (402) 408-9625

7100 W Center Rd
Omaha, NE 68106
Phone (402) 506-9000

2727 S 114TH St 250
Omaha, NE 68144
Phone (402) 408-9625

14473 W Center Rd
Omaha, NE 68144
Phone (402) 330-1651

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": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1164616447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14473 W CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445401",
            "telephone_number": "402-330-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14473 W CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681445401",
            "telephone_number": "402-330-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASSE",
        "first_name": "ANGELA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NE",
            "license": "29",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "WHITFIELD",
            "middle_name": "DENISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.