Michi Su Diller, AUD

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

107 Issued in NE

Practice address

14040 Boystown Hospital Rd
Boys Town, NE 68010-7521

Phone

(402) 778-6800

Fax

(402) 778-6874

NPI assigned

May 14, 2008

Last updated

Dec 29, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Michi Su Adelmund Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• ENT Services PC

  • Otolaryngology Physician
  • Omaha, NE
  • NPI 1194822130

  Audiologist

  NPD (past)
• Advanced Hearing Care, LLC

  • Audiologist
  • Las Cruces, NM
  • NPI 1386902773
  NPD (past)
• Alamogordo Ear Nose & Throat - Facial Plastic Surgery PC

  • Medical Specialty Clinic/Center
  • Alamogordo, NM
  • NPI 1497872931
  NPD (past)
• Healthone Clinic Services - Otolaryngology Specialists LLC

  • Otolaryngology Physician
  • Aurora, CO
  • NPI 1891029385
  NPD (past)

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1275700734",
    "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": "14040 BOYSTOWN HOSPITAL RD",
            "city": "BOYS TOWN",
            "state": "NE",
            "postal_code": "680107521",
            "telephone_number": "402-778-6800",
            "fax_number": "402-778-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLER",
        "first_name": "MICHI",
        "middle_name": "SU",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NE",
            "license": "287",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NE",
            "license": "107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHI",
            "last_name": "ADELMUND",
            "middle_name": "SU",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marlee Jo Denton, LIMHP, LMHP, LADC
• Mariah Lillian Deserisy, MA
• Jennifer Salonga Diaz, APRN
• Brittany Dibert, LIMHP
• Cheryl Ann Dick, APRN
• Matthew Dean Dobbertin, D.O.
• Mark J Domet, M.D.
• Denise M Drvol, MD
• Megan Renae Elliott, APRN-NP
• Jane M Emanuel, M.D.

• Audiologist-Hearing Aid Fitter in Boys Town, NE
• Providers in Boys Town, NE by specialty
• Audiologist-Hearing Aid Fitter in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.