Individual provider Active NPI

Brenda Leicy

  • Hearing Instrument Specialist
  • Norfolk, NE
National Provider Identifier
1407482524
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
810 Issued in NE
Practice address
2108 Taylor Ave Ste 300
Norfolk, NE 68701-4649
Phone
(402) 360-4336
NPI assigned
Mar 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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 810 NE Primary

Addresses

Primary practice location

2108 Taylor Ave Ste 300
Norfolk, NE 68701-4649

Mailing address

2108 Taylor Ave Ste 300
Norfolk, NE 68701-4649
Phone (402) 360-4336

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Hearing LLC CurrentSince Jun 7, 2020 Accepting new patients

Locations

2108 Taylor Ave
Ste 300
Norfolk, NE 68701
Phone (402) 360-4336

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": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1407482524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 TAYLOR AVE STE 300",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014649",
            "telephone_number": "402-360-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 TAYLOR AVE STE 300",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014649",
            "telephone_number": "402-360-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEICY",
        "first_name": "BRENDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NE",
            "license": "810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.