Active NPI
Regina Marie Mieska, AU.D.
- Audiologist
- Council Bluffs, IA
National Provider Identifier
1508142423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 204
- Practice address
- 320 McKenzie Ave
202
Council Bluffs, IA 51503-1002 - Phone
- (712) 256-5272
- Fax
- (712) 256-5271
- NPI assigned
- Oct 24, 2011
- Last updated
- Oct 24, 2011
- 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 | 204 | NE | Primary |
Addresses
Primary practice location
320 McKenzie Ave
202
Council Bluffs, IA 51503-1002
Mailing address
320 McKenzie Ave
202
Council Bluffs, IA 51503-1002
Phone (712) 256-5272
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204 | NE | MD | Pediatrics Physician |
| 00523 | IA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT Services PC | Audiologist | Past | 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": "1319414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319414400000",
"number": "1508142423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 MCKENZIE AVE",
"address_2": "202",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515031002",
"telephone_number": "712-256-5272",
"fax_number": "712-256-5271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 MCKENZIE AVE",
"address_2": "202",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515031002",
"telephone_number": "712-256-5272",
"fax_number": "712-256-5271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIESKA",
"first_name": "REGINA",
"middle_name": "MARIE",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-24",
"last_updated": "2011-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NE",
"license": "204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.