Active NPI
Debra H Gillette, M.S., CCC-A
- Audiologist
- Omaha, NE
National Provider Identifier
1245416098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2201001315
- Practice address
- 16417 Jones Cir
Omaha, NE 68118-2712 - Phone
- (402) 333-3612
- Fax
- (402) 333-3642
- NPI assigned
- Jan 10, 2008
- 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 | 2201001315 | VA | Primary |
Addresses
Primary practice location
16417 Jones Cir
Omaha, NE 68118-2712
Mailing address
16417 Jones Cir
Omaha, NE 68118-2712
Phone (402) 333-3612
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2201001315 | VA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199923200000",
"number": "1245416098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16417 JONES CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681182712",
"telephone_number": "402-333-3612",
"fax_number": "402-333-3642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16417 JONES CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681182712",
"telephone_number": "402-333-3612",
"fax_number": "402-333-3642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLETTE",
"first_name": "DEBRA",
"middle_name": "H",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-10",
"last_updated": "2008-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "VA",
"license": "2201001315",
"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 Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.