Individual provider Active NPI

Noel C Griffith, AUD

  • Audiologist
  • Omaha, NE
National Provider Identifier
1316094691
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
243 Issued in NE
Practice address
555 N 30TH St
Omaha, NE 68131-2136
Phone
(402) 498-6540
Fax
(402) 498-6357
NPI assigned
Jan 5, 2007
Last updated
May 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 243 NE Primary
Audiologist-Hearing Aid Fitter 237600000X 243 NE

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 practice location 1

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

Other identifiers 13

IdentifierTypeStateIssuer
2717967MedicaidIA
37019OtherNEBCBS ENT
0717694MedicaidIA
7717694MedicaidIA
9717694MedicaidIA
0717967MedicaidIA
1717694MedicaidIA
6717694MedicaidIA
5717694MedicaidIA
3717694MedicaidIA
4717694MedicaidIA
1717967MedicaidIA
2717694MedicaidIA

Other names 1

  • Ms. Noel C Boortz Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051208000900 NE Practitioner - Qualified Audiologist 0648291310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Hearing HealthGroup PAC ID 5890113757, 3 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
243NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Hearing Health Audiologist CurrentSince Jul 29, 2021 Accepting new patients
Omaha Ear Nose & Throat Clinic PC CurrentSince Jun 13, 2011 Accepting new patients
ENT Services PC Audiologist Past Accepting new patients
Father Flanagan's Boys' Home Past Accepting new patients

Locations

17410 Burke St
Ste 200
Omaha, NE 68118
Phone (402) 758-5330

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

555 N 30th St
Omaha, NE 68131
Phone (402) 280-8100

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1316094691",
    "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": [
        {
            "address_1": "18010 R Plz Ste 107",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681351923",
            "country_code": "US",
            "telephone_number": "402-318-7863",
            "fax_number": "402-318-7885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "NOEL",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NE",
            "license": "243",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NE",
            "license": "243",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2717967",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ENT",
            "identifier": "37019",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0717694",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7717694",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9717694",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0717967",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1717694",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6717694",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5717694",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3717694",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4717694",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1717967",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2717694",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOEL",
            "last_name": "BOORTZ",
            "middle_name": "C",
            "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 May 19, 2021; 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.