Active NPI
Joel A Edwards, M.S.
- Audiologist
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 89
- Practice address
- 425 N 30TH St
Omaha, NE 68131-2100 - Phone
- (402) 452-5000
- Fax
- (402) 452-5028
- NPI assigned
- Jan 15, 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 | 89 | NE | Primary |
Addresses
Primary practice location
425 N 30TH St
Omaha, NE 68131-2100
Mailing address
555 N 30TH St
Omaha, NE 68131-2136
Phone (402) 280-8100
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3948794 | Medicaid | IA | |
| 9948794 | Medicaid | IA | |
| 2948794 | Medicaid | IA | |
| 7948794 | Medicaid | IA | |
| 8948794 | Medicaid | IA | |
| 4948794 | Medicaid | IA | |
| 100250041-00 | Medicaid | NE | |
| 36801 | Other | NE | BCBS BT |
| 06614 | Other | NE | BCBS ENT |
| 100250037-00 | Medicaid | NE | |
| 1585745 | Medicaid | IA | |
| 2585745 | Medicaid | IA | |
| 5948794 | Medicaid | IA | |
| 0585745 | Medicaid | IA | |
| 1948794 | Medicaid | IA | |
| 3585745 | Medicaid | IA | |
| 4585745 | Medicaid | IA | |
| 6948794 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14000 Boys Town Hospital Rd
Boys Town, NE 68010-7513
Phone (531) 355-6000
14080 Boys Town Hospital Rd
Boys Town, NE 68010-7513
Phone (402) 778-6900
14092 Boys Town Hospital Rd
Boys Town, NE 68010-7513
Phone (531) 355-1449
7205 W Ctr Rd
Omaha, NE 68124-2387
Phone (531) 355-7684
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89 | NE | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Father Flanagan'S Boys' Home | Audiologist | Current | Accepting new patients |
Locations
14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900
555 N 30th St
Omaha, NE 68131
Phone (402) 280-8100
425 N 30th St
Omaha, NE 68131
Phone (402) 452-5000
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290384000000",
"number": "1245381441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 N 30TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312136",
"telephone_number": "402-280-8100",
"fax_number": "402-280-8103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 N 30TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312100",
"telephone_number": "402-452-5000",
"fax_number": "402-452-5028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "JOEL",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2010-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NE",
"license": "89",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3948794",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9948794",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2948794",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7948794",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8948794",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4948794",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100250041-00",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS BT",
"identifier": "36801",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ENT",
"identifier": "06614",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100250037-00",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1585745",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2585745",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5948794",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0585745",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1948794",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3585745",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4585745",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6948794",
"state": "IA"
}
],
"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 Nov 22, 2010; 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.