Active NPI
Ethan Micheal Platt, AUD
- Audiologist
- Lincoln, NE
National Provider Identifier
1316543473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 454
- Practice address
- 5055 A St Ste 300
Lincoln, NE 68510-4970 - Phone
- (402) 488-5079
- Fax
- (402) 488-8876
- NPI assigned
- Dec 4, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2020040100 | MO | |
| Audiologist | 231H00000X | 2402 | KS | |
| Audiologist-Hearing Aid Fitter | 237600000X | 1827 | KS | |
| Audiologist | 231H00000X | 454 | NE | Primary |
Addresses
Primary practice location
5055 A St Ste 300
Lincoln, NE 68510-4970
Mailing address
5055 A St Ste 300
Lincoln, NE 68510-4970
Phone (402) 488-5079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5055 A St
Suite 300
Lincoln, NE 68510-4970
Phone (402) 484-4974
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1827 | KS | MD | Clinical Social Worker |
| 2402 | KS | MD | Audiologist |
| 2020040100 | MO | MD | Audiologist |
| 454 | NE | MD | Audiologist |
Organizations & group practices 1
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.
-
- Otolaryngology Physician
- Lincoln, NE
- NPI 1871673384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1316543473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5055 A ST STE 300",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685104970",
"telephone_number": "402-488-5079",
"fax_number": "402-488-8876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5055 A ST STE 300",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685104970",
"telephone_number": "402-488-5079",
"fax_number": "402-488-8876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLATT",
"first_name": "ETHAN",
"middle_name": "MICHEAL",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-04",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MO",
"license": "2020040100",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KS",
"license": "2402",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "KS",
"license": "1827",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NE",
"license": "454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.