Active NPI
Emily Bosen
- Audiologist
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 356
- Practice address
- 4014 Leavenworth St
Omaha, NE 68105-0006 - Phone
- (402) 559-5208
- NPI assigned
- May 4, 2017
- Last updated
- Apr 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 356 | NE | Primary |
Addresses
Primary practice location
4014 Leavenworth St
Omaha, NE 68105-0006
Mailing address
988102 Nebraska Medical Center
Omaha, NE 68198-8102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 356 | NE | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unmc Physicians | Current | Accepting new patients | |
| ENT Services PC | Audiologist | Past | Accepting new patients |
Locations
3802 Raynor Pkwy
Bellevue, NE 68123
Phone (402) 280-3550
988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-1010
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
Organizations & group practices 3
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.
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- NPI 1295821825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1609302025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "988102 NEBRASKA MEDICAL CENTER",
"city": "OMAHA",
"state": "NE",
"postal_code": "681988102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4014 LEAVENWORTH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681050006",
"telephone_number": "402-559-5208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSEN",
"first_name": "EMILY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-04",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NE",
"license": "356",
"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 Apr 30, 2019; 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.