Active Hearing Health
Organization Active NPI Audiologist · Omaha, NE
NPI 1245840966 · NPPES record last updated Aug 19, 2020
Key facts
- NPI
- 1245840966
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Audiologist 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
- Organization subpart
- No
Authorized official
- Name
- Nicole R Kopetzky, AU.D.
- Title
- Owner
- Phone
- (402) 318-7863
Practitioners 3
-
Noel C Griffith, AUD
-
Cynthia Ann Johnson, AU.D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist |
231H00000X | Yes | ||
| 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
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.