Organization Active NPI

Audiology and Hearing Center of Grand Island PC

  • Audiologist
  • Grand Island, NE
National Provider Identifier
1588953640
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
241 Issued in NE
Legal business name
AUDIOLOGY AND HEARING CENTER OF GRAND ISLAND PC
Practice address
527 N Diers Ave
Suite 4
Grand Island, NE 68803-4977
Phone
(308) 382-4282
Fax
(308) 381-2150
NPI assigned
Mar 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Authorized official

Name
Blake A Studley, AU.D.NPI 1578562641
Title
Owner
Phone
(308) 382-4282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X 241 NE Primary
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X 066 NE

Addresses

Primary practice location

527 N Diers Ave
Suite 4
Grand Island, NE 68803-4977

Mailing address

527 N Diers Ave
Suite 4
Grand Island, NE 68803-4977
Phone (308) 382-4282

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110616000184 NE Part B Supplier - Clinic/Group Practice 8729265905 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Island, NE

National Provider Directory

National Provider Directory

Locations

659 Orleans Dr
Grand Island, NE 68803
Phone (308) 381-0404

6415 2nd Ave
Kearney, NE 68847

6415 2nd Ave
Ste 2
Kearney, NE 68847
Phone (308) 708-7353

3811 Central Ave
Ste G
Kearney, NE 68847

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1588953640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 N DIERS AVE",
            "address_2": "SUITE 4",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034977",
            "telephone_number": "308-382-4282",
            "fax_number": "308-381-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 N DIERS AVE",
            "address_2": "SUITE 4",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034977",
            "telephone_number": "308-382-4282",
            "fax_number": "308-381-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY AND HEARING CENTER OF GRAND ISLAND PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "STUDLEY",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-382-4282",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "NE",
            "license": "241",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NE",
            "license": "066",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.