Individual provider Active NPI

Angela Rae Eisenhauer, HIS

  • Hearing Instrument Specialist
  • Omaha, NE
National Provider Identifier
1316568793
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
840 Issued in NE
Practice address
12100 W Center Rd Ste 1205
Omaha, NE 68144-3960
Phone
(402) 571-1207
NPI assigned
Apr 27, 2020
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 840 NE Primary

Addresses

Primary practice location

12100 W Center Rd Ste 1205
Omaha, NE 68144-3960

Mailing address

12100 W Center Rd Ste 1205
Omaha, NE 68144-3960
Phone (402) 571-1207

Other practice location 1

11109 S 84th St Ste 1850
Papillion, NE 68046-4133
Phone (402) 769-0080

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)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
840NEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Hearing Hearing Instrument Specialist PastSince May 3, 2020 Accepting new patients

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, 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": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1316568793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 W CENTER RD STE 1205",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443960",
            "telephone_number": "402-571-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 W CENTER RD STE 1205",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443960",
            "telephone_number": "402-571-1207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11109 S 84th St Ste 1850",
            "address_purpose": "LOCATION",
            "city": "Papillion",
            "state": "NE",
            "postal_code": "680464133",
            "country_code": "US",
            "telephone_number": "402-769-0080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISENHAUER",
        "first_name": "ANGELA",
        "middle_name": "RAE",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2023-08-16",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NE",
            "license": "840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 16, 2023; 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.