Organization Active NPI

Active Hearing Health

  • Audiologist
  • Omaha, NE
National Provider Identifier
1245840966
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
ACTIVE HEARING HEALTH
Practice address
18010 R PLZ Ste 107
Omaha, NE 68135-1923
Phone
(402) 318-7863
Fax
(402) 318-7885
NPI assigned
Aug 6, 2020
Last updated
Aug 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Authorized official

Name
Nicole R Kopetzky, AU.D.NPI 1275705352
Title
Owner
Phone
(402) 318-7863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary
Hearing and Speech Clinic/Center 261QH0700X
Hearing Aid Equipment 332S00000X

Addresses

Primary practice location

18010 R PLZ Ste 107
Omaha, NE 68135-1923

Mailing address

18010 R PLZ Ste 107
Omaha, NE 68135-1923
Phone (402) 318-7863

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200910000301 NE Part B Supplier - Clinic/Group Practice 5890113757 Receives reassigned benefits from 3 practitioners
Practice locations: Beatrice, NE; Fairbury, NE; Omaha, NE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1245840966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18010 R PLZ STE 107",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681351923",
            "telephone_number": "402-318-7863",
            "fax_number": "402-318-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18010 R PLZ STE 107",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681351923",
            "telephone_number": "402-318-7863",
            "fax_number": "402-318-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HEARING HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "KOPETZKY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-318-7863",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.