Active NPI
Theron Newell Decker, PH.D., CCC-A
- Audiologist
- Lincoln, NE
National Provider Identifier
1174586994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 20
- Practice address
- 253 Barkley Memorial Center
Lincoln, NE 68583-0731 - Phone
- (402) 472-2068
- NPI assigned
- Apr 11, 2006
- Last updated
- Jul 11, 2007
- Sex
- Male
- 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 | 20 | NE | Primary |
Addresses
Primary practice location
253 Barkley Memorial Center
Lincoln, NE 68583-0731
Mailing address
253 Barkley Memorial Center
Lincoln, NE 68583-0731
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37025 | Other | NE | BCBS |
| 10025369300 | Medicaid | NE | |
| 20 | Other | NE | NE AUDIOLOGY LICENSE |
| 10025369400 | Medicaid | NE |
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
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Nebraska Department of Administrative Services | Audiologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba UNL-Barkley Speech Language and Hearing Clinic
- Speech-Language Pathologist
- Lincoln, NE
- NPI 1679500276
Audiologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1174586994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "253 BARKLEY MEMORIAL CENTER",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685830731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "253 BARKLEY MEMORIAL CENTER",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685830731",
"telephone_number": "402-472-2068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECKER",
"first_name": "THERON",
"middle_name": "NEWELL",
"credential": "PH.D., CCC-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NE",
"license": "20",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "37025",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025369300",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NE AUDIOLOGY LICENSE",
"identifier": "20",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025369400",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.