Active NPI
Cassidy Pietryga, AUD
- Audiologist
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 411
- Practice address
- 555 N 30TH St
Omaha, NE 68131-2136 - Phone
- (531) 355-6693
- NPI assigned
- Jun 29, 2021
- 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 | 411 | NE | Primary |
Addresses
Primary practice location
555 N 30TH St
Omaha, NE 68131-2136
Mailing address
4614 S 132ND St
Omaha, NE 68137-1764
Phone (402) 330-3211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
320 McKenzie Ave
Suite 202
Council Bluffs, IA 51503-1002
Phone (712) 256-5272
555 N 30TH St
Boys Town National Research Hospital Downto
Omaha, NE 68131-2136
Phone (531) 355-1234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 411 | NE | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Father Flanagan'S Boys' Home | Audiologist | Current | Accepting new patients |
| Father Flanagan'S Boys Home | Past | Accepting new patients | |
| Makovicka Harms Group PC | Past | Accepting new patients | |
| ENT Services PC | Audiologist | Past | Accepting new patients |
Locations
320 McKenzie Ave
Ste 202
Council Bluffs, IA 51503
Phone (712) 256-5272
14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900
555 N 30th St
Omaha, NE 68131
Phone (402) 280-8100
Organizations & group practices 4
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.
-
- Psychologist
- Boys Town, NE
- NPI 1265405419
-
- Physical Therapist
- Omaha, NE
- NPI 1386879559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703721600000",
"number": "1225608607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4614 S 132ND ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681371764",
"telephone_number": "402-330-3211",
"fax_number": "402-330-5970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 N 30TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312136",
"telephone_number": "531-355-6693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIETRYGA",
"first_name": "CASSIDY",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-29",
"last_updated": "2023-12-28",
"certification_date": "2023-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NE",
"license": "411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 28, 2023; 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.