Active NPI
Kathryn Laudin Beauchaine, M.A.
- Audiologist
- Omaha, NE
National Provider Identifier
1306903646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 48
- Practice address
- 555 N 30TH St
Omaha, NE 68131-2136 - Phone
- (402) 498-6540
- Fax
- (402) 498-6357
- NPI assigned
- Jan 3, 2007
- Last updated
- Nov 22, 2010
- 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 | 48 | NE | Primary |
Addresses
Primary practice location
555 N 30TH St
Omaha, NE 68131-2136
Mailing address
555 N 30TH St
Omaha, NE 68131-2136
Phone (402) 280-8100
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1585729 | Medicaid | IA | |
| 36838 | Other | NE | BCBS BT |
| 6585729 | Medicaid | IA | |
| 0585729 | Medicaid | IA | |
| 2585729 | Medicaid | IA | |
| 2585737 | Medicaid | IA | |
| 4585729 | Medicaid | IA | |
| 9585729 | Medicaid | IA | |
| 0585737 | Medicaid | IA | |
| 1585737 | Medicaid | IA | |
| 36839 | Other | NE | BCBS ENT |
| 5585729 | Medicaid | IA | |
| 7585729 | Medicaid | IA | |
| 8585729 | Medicaid | IA |
Other names 1
- Ms. Kathryn Ann Beauchaine
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48 | NE | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT Services PC | Audiologist | Past | Accepting new patients |
| Father Flanagan's Boys' Home | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Boys Town Imaging Center
- Radiology Clinic/Center
- Omaha, NE
- NPI 1528165644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290384000000",
"number": "1306903646",
"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": "555 N 30TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312136",
"telephone_number": "402-498-6540",
"fax_number": "402-498-6357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAUCHAINE",
"first_name": "KATHRYN",
"middle_name": "LAUDIN",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2010-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NE",
"license": "48",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1585729",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS BT",
"identifier": "36838",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6585729",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0585729",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2585729",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2585737",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4585729",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9585729",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0585737",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1585737",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ENT",
"identifier": "36839",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5585729",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7585729",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8585729",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "BEAUCHAINE",
"middle_name": "ANN",
"prefix": "MS.",
"credential": "M.A.",
"code": "1",
"type": "Former Name"
}
]
}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 Nov 22, 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.