Nicole Robin Kopetzky

Primary specialty

AudiologistTaxonomy code 231H00000X

License

230 Issued in NE

Practice address

18010 R PLZ Ste 107
Omaha, NE 68135-1923

Phone

(402) 318-7863

Fax

(402) 318-7885

NPI assigned

Mar 28, 2008

Sex

Female

Sole proprietor

No

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.

• Active Hearing Health

  • Audiologist
  • Omaha, NE
  • NPI 1245840966
  Medicare reassignment Care Compare group NPD Authorized official
• McCrae Management & Investments, LTD.

  • Hearing Instrument Specialist
  • Dripping Springs, TX
  • NPI 1891903795
  NPD (past)

Specialty

Qualified Audiologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Active Hearing Health 3 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

• Ms. Nicole Robin Burns Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 15, 2020.

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1275705352",
    "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": {
        "last_name": "KOPETZKY",
        "first_name": "NICOLE",
        "middle_name": "ROBIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-28",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NE",
            "license": "035",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NE",
            "license": "230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BURNS",
            "middle_name": "ROBIN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Koontz
• Rebecca Koontz, MS, CCC-SLP
• Quinn Koop
• Janice Lynn Koory, OTR/L
• Mary G Koperski, APRN
• Jenna N Kopp
• Jahnavi Koppala, MBBS
• Carly Teresa Koppit
• Myriam Kora
• Bruno Ouebounga Korahire

• All providers in Omaha, NE
• Audiologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.

Verify at the official NPI Registry.